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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

68800299

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Aeline KinneyFay Sex Female

Date of Birth August 8, 1908 Place of Birth BridgetownCounty of Annapolis

Name of Father Fred R. Kay MAIDEN NAME of Mother Mary Bernice Kinney

Residence of Father when child was born Bridgetown Present address of Father Bridgetown

Occupation of Father at Birth of child Magistrate Place of birth of Father Halifax

Race Canadian Name and present address of Physician in attendance at birth Dr. Louis G. DeBlois

Signature of Applicant Fred R. Fay Address of Applicant Bridgetown Date May 17, 1927

Relationship of Applicant to child Father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Aeline KinneyFay

Born at Bridgetown in the County of Annapolis

That Aeline KinneyFay Whose Birth is sought to be registered was

born at Bridgetown Annapolis County on August 8, 1908

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

I am the father of said applicant.

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