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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000169

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Cleophas AngelaMacKinnon Sex Female

Date of Birth February 17, 1924 Place of Birth Dominion No. 4, Glace BayCounty of Cape Breton

Name of Father Malcolm MacKinnon MAIDEN NAME of Mother Stella MacKinnon

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

Residence of Father when child was born 259 Brookside Street, Glace Bay, Cape Breton Co., NS Present address of Father Deceased

Occupation of Father at Birth of child Mechanic Place of birth of Father Glace Bay, Cape Breton Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Stella MacKinnon Address of Applicant 259 Brookside Street, Glace Bay, Cape Breton Co., NS Date 4 May 1956

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Cleophas AngelaMacKinnon

Born at Dominion No. 4, Glace Bay in the County of Cape Breton

That Cleophas AngelaMacKinnon Whose Birth is sought to be registered was

born at Dominion No. 4, Glace Bay Cape Breton County on February 17, 1924

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

I am her mother and remember the date of her birth Baptism certificate

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