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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000084

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Evelyn MaeMcMullen Sex Female

Date of Birth December 19, 1924 Place of Birth Reserve MinesCounty of Cape Breton

Name of Father John D. McMullen MAIDEN NAME of Mother Mary Anne McDonald

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

Residence of Father when child was born Reserve Mines, Cape Breton Co., NS Present address of Father Deceased

Occupation of Father at Birth of child Mine examiner in No. 10 Colliery Place of birth of Father Boisdale, Cape Breton Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mary A. McMullen Address of Applicant Main Street, Reserve Mines, Cape Breton Co., NS Date 27 December 1948

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Evelyn MaeMcMullen

Born at Reserve Mines in the County of Cape Breton

That Evelyn MaeMcMullen Whose Birth is sought to be registered was

born at Reserve Mines Cape Breton County on December 19, 1924

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

I am her mother

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