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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

90600268

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of William FrederickMacKenzie Sex Male

Date of Birth February 24, 1920 Place of Birth StellartonCounty of Pictou

Name of Father William Lorimer MacKenzie MAIDEN NAME of Mother Nellie Belle Myers

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

Residence of Father when child was born Stellarton, Pictou Co. Present address of Father Stellarton, Pictou Co.

Occupation of Father at Birth of child Coal MIner Place of birth of Father Westville, Pictou Co.

Race Scottish Name and present address of Physician in attendance at birth Dr. R. M. Benvie

Signature of Applicant William Lorimer MacKenzie Address of Applicant Stellarton, Pictou Co. Date 7 December 1933

Relationship of Applicant to child Father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of William FrederickMacKenzie

Born at Stellarton in the County of Pictou

That William FrederickMacKenzie Whose Birth is sought to be registered was

born at Stellarton Pictou County on February 24, 1920

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

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