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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000968

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth January 27, 1922 Place of Birth SydneyCounty of Cape Breton

Name of Father James MacInnis MAIDEN NAME of Mother Bessie Steele

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 Moulder - Sydney Steel Plant Place of birth of Father East Bay, Cape Breton

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mary Cecilia MacInnis Address of Applicant 12365 Alfred Avenue, Montreal North, Quebec, H1G 5C8 Date 29 January 1984

Relationship of Applicant to child Self

AFFIDAVIT

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

Born at Sydney in the County of Cape Breton

That Mary CeciliaMacInnis Whose Birth is sought to be registered was

born at Sydney Cape Breton County on January 27, 1922

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

I am the brother of Mary Cecilia MacInnis (signed Hugh F. MacInnis)

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