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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000765

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth September 9, 1924 Place of Birth InvernessCounty of Inverness

Name of Father Joseph MacKinnon MAIDEN NAME of Mother Marcella MacKinnon

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

Residence of Father when child was born Inverness, NS Present address of Father Deceased

Occupation of Father at Birth of child Miner Place of birth of Father Inverness, NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Marie DeCoste Address of Applicant 632 Wilene Drive, Burlington, Ontario, L7L 2B4 Date 28 September 1983

Relationship of Applicant to child Applicant is Mary Iva MacKinnon

AFFIDAVIT

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

Born at Inverness in the County of Inverness

That Mary IvaMacKinnon Whose Birth is sought to be registered was

born at Inverness Inverness County on September 9, 1924

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

Certificate of Baptism from Stella Maris Parish, Inverness, St. Margaret's Parish, Broad Cove, dated July 12, 1983 by Rev. Stanley V. MacDonald

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