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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000742

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Dorothy Lottie MayKeddy Sex Female

Date of Birth December 13, 1920 Place of Birth Tufts CoveCounty of Halifax

Name of Father Ivan James Keddy MAIDEN NAME of Mother Lottie Lovett

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

Residence of Father when child was born Tufts Cove Present address of Father Dartmouth

Occupation of Father at Birth of child Boilermaker Place of birth of Father Burnside

Race Name and present address of Physician in attendance at birth

Signature of Applicant Joan Wooder Address of Applicant Summerside, Prince Edward Island Date July 31, 1975

Relationship of Applicant to child sister

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Dorothy Lottie MayKeddy

Born at Tufts Cove in the County of Halifax

That Dorothy Lottie MayKeddy Whose Birth is sought to be registered was

born at Tufts Cove Halifax County on December 13, 1920

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

Certificate of Baptism for Dorothy Lottie May Keddy obtained from Emmanuel Church is attached hereto.

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