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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

91700120

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Donald MurrayMacKinnon Sex Male

Date of Birth July 10, 1923 Place of Birth Glace BayCounty of Cape Breton

Name of Father Donald John MacKinnon MAIDEN NAME of Mother Annie Isabelle Scott

Residence of Father when child was born Newton Street, Glace Bay, Cape Breton Co., NS Present address of Father 37 MacLean Street, Glace Bay, Cape Breton Co., NS

Occupation of Father at Birth of child Carpenter Place of birth of Father Roxbury, Massachusetts, USA

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. D. J. MacKinnon Address of Applicant 37 MacLean Street, Glace Bay, Cape Breton Co., NS Date 29 October 1942

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Donald MurrayMacKinnon

Born at Glace Bay in the County of Cape Breton

That Donald MurrayMacKinnon Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on July 10, 1923

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

I am his mother.

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