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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000602

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Doris EleanorMacMullin Sex Female

Date of Birth March 6, 1921 Place of Birth Sydney MinesCounty of Cape Breton

Name of Father William D. MacMullin MAIDEN NAME of Mother Anne Ratchford

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

Residence of Father when child was born Sydney Mines Present address of Father deceased

Occupation of Father at Birth of child Worker - Bottle Exchange Place of birth of Father Sydney Mines

Race Name and present address of Physician in attendance at birth

Signature of Applicant Sister Clare Marie Address of Applicant 5820 Spring Garden Rd. Halifax Date November 18, 1975

Relationship of Applicant to child Member of the same Religious Congregation

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Doris EleanorMacMullin

Born at Sydney Mines in the County of Cape Breton

That Doris EleanorMacMullin Whose Birth is sought to be registered was

born at Sydney Mines Cape Breton County on March 6, 1921

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

Baptismal Certificate

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