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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000149

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth September 8, 1922 Place of Birth East Lake AinslieCounty of Inverness

Name of Father David MacKinnon MAIDEN NAME of Mother Annie M. Butterworth

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

Residence of Father when child was born East Lake Ainslie, Inverness Present address of Father East Lake Ainslie, Inverness

Occupation of Father at Birth of child Farming Place of birth of Father East Lake Ainslie, Inverness

Race Name and present address of Physician in attendance at birth

Signature of Applicant Annie M. MacKinnon Address of Applicant East Lake Ainslie, Inverness Date 21 July 1951

Relationship of Applicant to child Mother

AFFIDAVIT

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

Born at East Lake Ainslie in the County of Inverness

That Mary DorothyMacKinnon Whose Birth is sought to be registered was

born at East Lake Ainslie Inverness County on September 8, 1922

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

I am her mother. Baptism certificate.

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