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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000607

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Annie MayMcKenna Sex Female

Date of Birth October 18, 1924 Place of Birth Sydney MinesCounty of Cape Breton

Name of Father John Clement McKenna MAIDEN NAME of Mother Mary McQuaid

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

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

Occupation of Father at Birth of child Steel Worker Place of birth of Father Bonshaw, Prince Edward Island

Race Name and present address of Physician in attendance at birth

Signature of Applicant Annie May McKenna Address of Applicant 44 Clyde Avenue, Sydney Mines, Cape Breton Co., NS Date 23 January 1979

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Annie MayMcKenna

Born at Sydney Mines in the County of Cape Breton

That Annie MayMcKenna Whose Birth is sought to be registered was

born at Sydney Mines Cape Breton County on October 18, 1924

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

1. Baptismal Certificate 2. School record

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