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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100005

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of VeronicaMacInnis Sex Female

Date of Birth February 12, 1922 Place of Birth KingsvilleCounty of Inverness

Name of Father Duncan MacInnis (foster father) MAIDEN NAME of Mother Isabelle MacMaster (foster mother)

Residence of Father when child was born Present address of Father

Occupation of Father at Birth of child Place of birth of Father

Race Name and present address of Physician in attendance at birth

Signature of Applicant Veronica Wells Address of Applicant 35 Pittsboro Drive, Unit #4, Rexdale, Ontario Date 26 February 1985

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of VeronicaMacInnis

Born at Kingsville in the County of Inverness

That VeronicaMacInnis Whose Birth is sought to be registered was

born at Kingsville Inverness County on February 12, 1922

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

1. Information supplied to me by my step-parents, duncan & Isabelle MacInnis. 2. School record from Department of Education

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