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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100033

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth March 20, 1921 Place of Birth PictouCounty of Pictou

Name of Father George William McKinnon MAIDEN NAME of Mother Ella May MacKenzie

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

Residence of Father when child was born Pictou Present address of Father dead

Occupation of Father at Birth of child Carpenter Place of birth of Father Toney River

Race Name and present address of Physician in attendance at birth

Signature of Applicant Jean MacKenzie Address of Applicant Box 451 Pictou Date October 4, 1983

Relationship of Applicant to child same

AFFIDAVIT

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

Born at Pictou in the County of Pictou

That Doris JoanMcKinnon Whose Birth is sought to be registered was

born at Pictou Pictou County on March 20, 1921

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

Certificate of Birth from St. Andrews Church, Pictou

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