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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

91600064

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Thomas DunbarMacKay Sex Male

Date of Birth December 22, 1921 Place of Birth InvernessCounty of Inverness

Name of Father Daniel Allen MacKay MAIDEN NAME of Mother Catherine MacGregor

Residence of Father when child was born Inverness, NS Present address of Father Springhill, Cumberland Co., NS

Occupation of Father at Birth of child Coal Miner Place of birth of Father Lake Ainslie, Inverness Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Daniel A. MacKay Address of Applicant Springhill, Cumberland Co., NS Date 9 August 1941

Relationship of Applicant to child Father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Thomas DunbarMacKay

Born at Inverness in the County of Inverness

That Thomas DunbarMacKay Whose Birth is sought to be registered was

born at Inverness Inverness County on December 22, 1921

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

Being the father of the applicant I well remember the place and date and I have always kept a record.

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