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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000587

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Sarah MarieMacKay Sex Female

Date of Birth September 30, 1922 Place of Birth Upper Mount ThomCounty of Pictou

Name of Father Howard MacKay MAIDEN NAME of Mother Sadie MacKay

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

Residence of Father when child was born Upper Mt. Thom, Pictou Present address of Father

Occupation of Father at Birth of child Farmer Place of birth of Father Upper Mt. Thom, Pictou

Race Name and present address of Physician in attendance at birth

Signature of Applicant Sarah M. Warnell Address of Applicant RR #3, Kingston, Ontario Date 12 July 1976

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Sarah MarieMacKay

Born at Upper Mount Thom in the County of Pictou

That Sarah MarieMacKay Whose Birth is sought to be registered was

born at Upper Mount Thom Pictou County on September 30, 1922

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

Information received from my parents while living

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