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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000439

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Lamey GeorgeMcKinnon Sex Male

Date of Birth December 7, 1922 Place of Birth Little Bras D'OrCounty of Cape Breton

Name of Father Alexander McKinnon MAIDEN NAME of Mother Susan Jessome

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

Residence of Father when child was born Little Bras d'Or, Cape Breton Present address of Father Deceased

Occupation of Father at Birth of child Railway Employee Place of birth of Father Sydney Mines, Cape Breton

Race Name and present address of Physician in attendance at birth

Signature of Applicant Susan McKinnon Address of Applicant 1505 Alexandra Street, Sydney, Cape Breton Date 14 January 1972

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Lamey GeorgeMcKinnon

Born at Little Bras D'Or in the County of Cape Breton

That Lamey GeorgeMcKinnon Whose Birth is sought to be registered was

born at Little Bras D'Or Cape Breton County on December 7, 1922

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

I am the mother of said Lamey George McKinnon. The facts set forth in the foregoing application are true in every particular. Hereto attached is baptismal certificate which also confirms the foregoing application.

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