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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000614

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Marion VirginiaMacInnis Sex Female

Date of Birth September 15, 1922 Place of Birth WestfieldCounty of Queens

Name of Father Archible MacInnis MAIDEN NAME of Mother Annie Laura Smith

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

Residence of Father when child was born Westfield, Queens Present address of Father Deceased

Occupation of Father at Birth of child Labourer Place of birth of Father Nictaux Falls, Annapolis

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Marion V. Corkum (MacInnis) Address of Applicant 31 Crestview Avenue, Brampton, Ontario Date 16 August 1976

Relationship of Applicant to child Aunt

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Marion VirginiaMacInnis

Born at Westfield in the County of Queens

That Marion VirginiaMacInnis Whose Birth is sought to be registered was

born at Westfield Queens County on September 15, 1922

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

I am an aunt of the applicant for a birth certificate being a sister of her mother and I was present in the home when Marion Virginia MacInnis was married and known as Marion Virginia Corkum was born.

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