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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000661

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Mary JennetteMacKinnon Sex Female

Date of Birth September 14, 1924 Place of Birth Fraser MountainCounty of Pictou

Name of Father John J. MacKinnon MAIDEN NAME of Mother Florence Reid

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

Residence of Father when child was born Fraser Mountain, Pictou Co., NS Present address of Father Deceased

Occupation of Father at Birth of child Farmer & Miner Place of birth of Father Lismore, Pictou Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. mary Surette Address of Applicant RR #1, New Glasgow, Pictou Co., NS Date 25 March 1980

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Mary JennetteMacKinnon

Born at Fraser Mountain in the County of Pictou

That Mary JennetteMacKinnon Whose Birth is sought to be registered was

born at Fraser Mountain Pictou County on September 14, 1924

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

1. I am a family relative 2. I recall her birthday as always being celebrated on September 14th

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