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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000058

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Mary EileenMcInnis Sex Male

Date of Birth October 6, 1922 Place of Birth North SydneyCounty of Cape Breton

Name of Father Michael McInnis MAIDEN NAME of Mother Cecelia Murphy

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

Residence of Father when child was born North Sydney, Cape Breton Present address of Father West Street, North Sydney, Cape Breton

Occupation of Father at Birth of child Brakeman Steel, Iron & Coal Company Place of birth of Father North Sydney, Cape Breton

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mary Eileen McInnes Address of Applicant 25 Triller Avenue, Toronto, Ontario Date 27 March 1948

Relationship of Applicant to child Self

AFFIDAVIT

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

Born at North Sydney in the County of Cape Breton

That Mary EileenMcInnis Whose Birth is sought to be registered was

born at North Sydney Cape Breton County on October 6, 1922

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

I am the mother of the said Mary Eileen McInnis and have personal knowledge of the matter (signed Mrs. Cecelia McInnis)

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