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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000247

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Annie AlexisMacKay Sex Female

Date of Birth April 25, 1922 Place of Birth Glace BayCounty of Cape Breton

Name of Father JOhn Grant MacKay MAIDEN NAME of Mother Christena Martin

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

Residence of Father when child was born Glace Bay, Cape Breton Present address of Father Glace Bay, Cape Breton

Occupation of Father at Birth of child Coal Miner Place of birth of Father Glace Bay, Cape Breton

Race Name and present address of Physician in attendance at birth

Signature of Applicant Annie Alexis MacKay Address of Applicant Glace Bay, Cape Breton Date 25 August 1959

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Annie AlexisMacKay

Born at Glace Bay in the County of Cape Breton

That Annie AlexisMacKay Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on April 25, 1922

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

It is the date shown on the certificate of birth issued by Glace Bay General Hospital

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