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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100103

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Marjorie DortheaMacKay Sex Female

Date of Birth February 23, 1921 Place of Birth Upper NorthfieldCounty of Lunenburg

Name of Father Maynard MacKay MAIDEN NAME of Mother Gertrude Adelia Veinot

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

Residence of Father when child was born Upper Northfield Present address of Father deceased

Occupation of Father at Birth of child Butcher Place of birth of Father Upper Northfield

Race Name and present address of Physician in attendance at birth

Signature of Applicant Marjorie Dorthea DeLong Address of Applicant Barss Corner Date May 7, 1985

Relationship of Applicant to child Myself

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Marjorie DortheaMacKay

Born at Upper Northfield in the County of Lunenburg

That Marjorie DortheaMacKay Whose Birth is sought to be registered was

born at Upper Northfield Lunenburg County on February 23, 1921

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

According to the letter I received from my pastor Rev. Gustaction I was born Feb 23rd 1921 and was baptized March 31st 1921 in Upper Northfield

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