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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000374

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Flora TheresaMacMullin Sex Female

Date of Birth September 29, 1924 Place of Birth Beaver CoveCounty of Cape Breton

Name of Father Joseph MacMullin MAIDEN NAME of Mother Flora S. MacNeil

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

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

Occupation of Father at Birth of child Place of birth of Father

Race Name and present address of Physician in attendance at birth

Signature of Applicant Manuel Zlatin Address of Applicant Halifax, NS Date 15 August 1972

Relationship of Applicant to child None

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Flora TheresaMacMullin

Born at Beaver Cove in the County of Cape Breton

That Flora TheresaMacMullin Whose Birth is sought to be registered was

born at Beaver Cove Cape Breton County on September 29, 1924

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

Baptism certificate

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