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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000797

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Lena YvonneMacKinnon Sex Female

Date of Birth May 20, 1924 Place of Birth East Lake AinslieCounty of Inverness

Name of Father David A. MacKinnon MAIDEN NAME of Mother  Butterworth

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

Residence of Father when child was born East Lake Ainslie, Inverness Co., NS Present address of Father Deceased

Occupation of Father at Birth of child Farmer Place of birth of Father East Lake Ainslie, Inverness Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Lena Bermingham Address of Applicant 178 St. Francis, Chateauguay, Quebec Date 16 September 1984

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Lena YvonneMacKinnon

Born at East Lake Ainslie in the County of Inverness

That Lena YvonneMacKinnon Whose Birth is sought to be registered was

born at East Lake Ainslie Inverness County on May 20, 1924

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

1. My parents recollection 2. The attached documents - Baptismal certificate - letter of Archie Campbell, ELA Church

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