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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

92800380

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Maxine AdeliaMacKay Sex Female

Date of Birth July 30, 1923 Place of Birth PinehurstCounty of Lunenburg

Name of Father James MacKay MAIDEN NAME of Mother Maude Lowe

Residence of Father when child was born Pinehurst, Lunenburg Co., NS Present address of Father Pinehurst, Lunenburg Co., NS

Occupation of Father at Birth of child Farmer Place of birth of Father Pinehurst, Lunenburg Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant L. C. Mach Address of Applicant Bridgewater, Lunenburg Co., NS Date 4 July 1944

Relationship of Applicant to child None

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Maxine AdeliaMacKay

Born at Pinehurst in the County of Lunenburg

That Maxine AdeliaMacKay Whose Birth is sought to be registered was

born at Pinehurst Lunenburg County on July 30, 1923

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

Certificate of baptism attached

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