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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

90500571

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Michael GeraldMcKinnon Sex Male

Date of Birth June 15, 1922 Place of Birth New WaterfordCounty of Cape Breton

Name of Father James Leo McKinnon MAIDEN NAME of Mother Mary MacEachern

Residence of Father when child was born New Waterford Present address of Father New Waterford

Occupation of Father at Birth of child Insurance Agent Place of birth of Father Shenacadie

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mary MacKinnon Address of Applicant Box 562 New Waterford Date Mary 21, 1940

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Michael GeraldMcKinnon

Born at New Waterford in the County of Cape Breton

That Michael GeraldMcKinnon Whose Birth is sought to be registered was

born at New Waterford Cape Breton County on June 15, 1922

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

That I am the mother of the child and I have a record of his birth in the family records

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