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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100091

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of JohnannaMacMullin Sex Female

Date of Birth March 2, 1923 Place of Birth Beaver CoveCounty of Cape Breton

Name of Father John Joseph MacMullin MAIDEN NAME of Mother Florence MacNeil

Were the Parents married at the time of the Birth? Yes

Residence of Father when child was born Present address of Father

Occupation of Father at Birth of child Place of birth of Father Rear of Beaver Cove

Race Name and present address of Physician in attendance at birth

Signature of Applicant Johnanna MacKinnon Address of Applicant Grand Narrows Hwy, Beaver Cove Date December 4, 2004

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of JohnannaMacMullin

Born at Beaver Cove in the County of Cape Breton

That JohnannaMacMullin Whose Birth is sought to be registered was

born at Beaver Cove Cape Breton County on March 2, 1923

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

Baptism Certificate and Marriage extract

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