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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

91700094

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Margaret Sarah JemimaMacInnis Sex Female

Date of Birth March 3, 1923 Place of Birth InvernessCounty of Inverness

Name of Father John Alex MacInnis MAIDEN NAME of Mother Christina MacDonald

Residence of Father when child was born Inverness, NS Present address of Father Inverness, NS

Occupation of Father at Birth of child Miner Place of birth of Father Inverness, NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Christene MacInnis Address of Applicant Inverness, NS Date 27 October 1942

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Margaret Sarah JemimaMacInnis

Born at Inverness in the County of Inverness

That Margaret Sarah JemimaMacInnis Whose Birth is sought to be registered was

born at Inverness Inverness County on March 3, 1923

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

Being the mother of the said child, I am well acquainted with the place and date of birth.

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