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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000187

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of JosephMacMullin Sex Male

Date of Birth May 12, 1924 Place of Birth DominionCounty of Cape Breton

Name of Father Michael MacMullin MAIDEN NAME of Mother Effie Rambeau

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

Residence of Father when child was born Dominion, Cape Breton Co., NS Present address of Father Dominion, Cape Breton Co., NS

Occupation of Father at Birth of child Miner Place of birth of Father White Point, Victoria Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Michael MacMullin Address of Applicant Neville Street, Dominion, Cape Breton Co., NS Date 11 April 1957

Relationship of Applicant to child Mother

AFFIDAVIT

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

Born at Dominion in the County of Cape Breton

That JosephMacMullin Whose Birth is sought to be registered was

born at Dominion Cape Breton County on May 12, 1924

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

Certification of birth from records of Immaculate Conception Parish and my personal knowledge of the fact that my son, Joseph, was born in Dominion, NS on the date stated. National Registration record.

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