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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000759

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Jessie MaeMacKinnon Sex Female

Date of Birth September 26, 1922 Place of Birth Hays RiverCounty of Inverness

Name of Father Archie C. MacKinnon MAIDEN NAME of Mother Catherine M. MacKinnon

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

Residence of Father when child was born Hays River, Inverness Present address of Father Deceased

Occupation of Father at Birth of child Farmer Place of birth of Father Hays River, Inverness

Race Name and present address of Physician in attendance at birth

Signature of Applicant Jessie Mae MacLellan Address of Applicant 331 Mahon Street, New Waterford, Cape Breton Date 25 May 1979

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Jessie MaeMacKinnon

Born at Hays River in the County of Inverness

That Jessie MaeMacKinnon Whose Birth is sought to be registered was

born at Hays River Inverness County on September 26, 1922

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

I lived in the next house where Jessie M. MacKinnon was born. also I am a cousin to Jessie MacKinnon and remember when she was born.

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