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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100243

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Thelma ElizabethMacKinnon Sex Female

Date of Birth February 18, 1921 Place of Birth StellartonCounty of Pictou

Name of Father William H. MacKinnon MAIDEN NAME of Mother Elizabeth E. Barry

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

Residence of Father when child was born Stellarton Present address of Father

Occupation of Father at Birth of child Place of birth of Father Thorburn

Race Name and present address of Physician in attendance at birth

Signature of Applicant Thelma E. Anderson Address of Applicant 3 Cherry Lane, Hantsport Date August 3, 2007

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Thelma ElizabethMacKinnon

Born at Stellarton in the County of Pictou

That Thelma ElizabethMacKinnon Whose Birth is sought to be registered was

born at Stellarton Pictou County on February 18, 1921

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

Baptismal (extract) marriage extract

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