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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000555

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth April 12, 1924 Place of Birth SydneyCounty of Cape Breton

Name of Father John L. MacKinnon MAIDEN NAME of Mother Catherine MacInnis

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

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

Occupation of Father at Birth of child Salesman Place of birth of Father Nova Scotia

Race Name and present address of Physician in attendance at birth

Signature of Applicant Catherine MacKinnon Address of Applicant 33 Reserve Street, Glace Bay, Cape Breton Co., NS Date 5 October 1977

Relationship of Applicant to child Mother

AFFIDAVIT

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

Born at Sydney in the County of Cape Breton

That KathleenMacKinnon Whose Birth is sought to be registered was

born at Sydney Cape Breton County on April 12, 1924

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

I am the mother of Kathleen MacKinnon

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