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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000708

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Mary JohnenaMacMullin Sex Female

Date of Birth August 29, 1921 Place of Birth LouisburgCounty of Cape Breton

Name of Father William MacMullin MAIDEN NAME of Mother Alexis MacLean

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

Residence of Father when child was born Louisburg Present address of Father deceased

Occupation of Father at Birth of child Miner Place of birth of Father New Boston

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mary J. Snow Address of Applicant Box 1347 Atikokan, Ontario Date July 13, 1976

Relationship of Applicant to child am person making application

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Mary JohnenaMacMullin

Born at Louisburg in the County of Cape Breton

That Mary JohnenaMacMullin Whose Birth is sought to be registered was

born at Louisburg Cape Breton County on August 29, 1921

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

Letter of superintendent D.M. Ferguson of Town of Glace Bay Schools.

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