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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000753

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Walter EthelbertMcKinnon Sex Male

Date of Birth September 1, 1923 Place of Birth SydneyCounty of Cape Breton

Name of Father John McKinnon MAIDEN NAME of Mother Eliza McLean

Residence of Father when child was born Sydney Cape Breton Co. Ns Present address of Father Deceased

Occupation of Father at Birth of child Steel Worker Place of birth of Father Washabuck, Victoria Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Walter E. McKinnon Address of Applicant 176 Columbia Street, Sydney, Cape Breton Co., NS Date 27 November 1978

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Walter EthelbertMcKinnon

Born at Sydney in the County of Cape Breton

That Walter EthelbertMcKinnon Whose Birth is sought to be registered was

born at Sydney Cape Breton County on September 1, 1923

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

Personal knowledge and baptismal certificate attached hereto.

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