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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000494

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Vincent SinclairKeddy Sex Male

Date of Birth September 26, 1920 Place of Birth New RossCounty of Lunenburg

Name of Father Lindsay Vernon Keddy MAIDEN NAME of Mother Evelyn  Hiltz

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

Residence of Father when child was born Lake Ramsay Present address of Father New Ross

Occupation of Father at Birth of child Farmer Place of birth of Father Lake Ramsay

Race English Name and present address of Physician in attendance at birth

Signature of Applicant Evelyn Aileen Keddy Address of Applicant New Ross Date June 18, 1969

Relationship of Applicant to child mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Vincent SinclairKeddy

Born at New Ross in the County of Lunenburg

That Vincent SinclairKeddy Whose Birth is sought to be registered was

born at New Ross Lunenburg County on September 26, 1920

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

1. I am the mother of Vincent Sinclair Keddy 2. Baptism Certificate

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