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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000481

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth November 8, 1922 Place of Birth SydneyCounty of Cape Breton

Name of Father Hector C. MacMillan MAIDEN NAME of Mother Winnifred Butler

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

Residence of Father when child was born Sydney, Cape Breton Present address of Father Deceased

Occupation of Father at Birth of child Watchmaker and Jeweller Place of birth of Father Charlottetown, Prince Edward Island

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Shirley M. Moran Address of Applicant 134 Spring Park Road, Charlottetown, Prince Edward Island Date 31 May 1973

Relationship of Applicant to child N/A

AFFIDAVIT

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

Born at Sydney in the County of Cape Breton

That Mary ShirleyMacMillan Whose Birth is sought to be registered was

born at Sydney Cape Breton County on November 8, 1922

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

Baptismal certificate issued on request on February 7, 1947

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