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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000487

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Elizabeth ClaireMacInnis Sex Female

Date of Birth July 19, 1921 Place of Birth SydneyCounty of Cape Breton

Name of Father William MacInnis MAIDEN NAME of Mother Lillian Beatrice Moynagh

Were the Parents married at the time of the Birth? Yes

Residence of Father when child was born 21 George St. Sydney Present address of Father 27 Whitney Ave. Sydney

Occupation of Father at Birth of child Office Clerk Place of birth of Father Beechmont

Race Scottish Name and present address of Physician in attendance at birth Dr. J.G.B. Lynch

Signature of Applicant William MacInnis Address of Applicant 27 Whitney Ave. Sydney Date February 22, 1972

Relationship of Applicant to child Father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Elizabeth ClaireMacInnis

Born at Sydney in the County of Cape Breton

That Elizabeth ClaireMacInnis Whose Birth is sought to be registered was

born at Sydney Cape Breton County on July 19, 1921

My knowledge of the fact and date of such Birth is based on the following Circumstances:

Baptismal Certificate

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