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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000589

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Victor CharlesKeddy Sex

Date of Birth February 29, 1920 Place of Birth LiverpoolCounty of Queens

Name of Father Howard Austin Keddy MAIDEN NAME of Mother Emma  MacFarlenweare

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

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

Occupation of Father at Birth of child Carpenter Place of birth of Father Martins River

Race White Name and present address of Physician in attendance at birth Dr. Jordan Smith Sr. (Deceased)

Signature of Applicant Emma M. Keddy Address of Applicant Liverpool Date January 25, 1972

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Victor CharlesKeddy

Born at Liverpool in the County of Queens

That Victor CharlesKeddy Whose Birth is sought to be registered was

born at Liverpool Queens County on February 29, 1920

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

I Emma M. Keddy, the mother of my son Victor Charles Keddy who was born on February 29, Leap Year, 1920.

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