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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000051

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Evelyn MargueriteKaye Sex Female

Date of Birth June 11, 1920 Place of Birth HillsburnCounty of Annapolis

Name of Father John Kaye MAIDEN NAME of Mother Ellen Halliday

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

Residence of Father when child was born Hillsburn Present address of Father deceased

Occupation of Father at Birth of child Fisherman Place of birth of Father Hillsburn

Race English Name and present address of Physician in attendance at birth Dr. Smith, Granville Ferry

Signature of Applicant Ellen Kaye Address of Applicant Hillsburn Date February 20, 1947

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Evelyn MargueriteKaye

Born at Hillsburn in the County of Annapolis

That Evelyn MargueriteKaye Whose Birth is sought to be registered was

born at Hillsburn Annapolis County on June 11, 1920

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

I am her mother and know this date of birth is correct

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