Male Birth Registration: Year: 1922 number: 99000858
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PROVINCE OF NOVA SCOTIA
DELAYED REGISTRATION OF BIRTH
99000858
TO THE REGISTRAR GENERAL OF NOVA SCOTIA
I hereby make application for the Registration of Birth of FrederickMacInnis Sex Male
Date of Birth April 22, 1922 Place of Birth Glace BayCounty of Cape Breton
Name of Father Samuel MacInnis MAIDEN NAME of Mother Eliza Stonier
Were the Parents married at the time of the Birth? Yes
Residence of Father when child was born Glace Bay, Cape Breton Present address of Father Deceased
Occupation of Father at Birth of child Miner Place of birth of Father Montana, USA
Race Name and present address of Physician in attendance at birth
Signature of Applicant F. A. MacInnis Address of Applicant 322 Brock Street, Kingston, Ontario Date 21 September 1981
Relationship of Applicant to child Self
AFFIDAVIT
IN THE MATTER of the application for the Registration of the Birth of FrederickMacInnis
Born at Glace Bay in the County of Cape Breton
That FrederickMacInnis Whose Birth is sought to be registered was
born at Glace Bay Cape Breton County on April 22, 1922
My knowledge of the fact and date of such Birth is based on the following Circumstances:
Provision of an original hospital birth certificate from Glace Bay re: Frederick MacInnis
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=432109
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