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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000862

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Hilda ElfredaTracey Sex Female

Date of Birth October 20, 1920 Place of Birth LockhartvilleCounty of Kings

Name of Father Edward Elisha Tracey MAIDEN NAME of Mother Osa Ann Davidson

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

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

Occupation of Father at Birth of child Farmer Place of birth of Father Lockhartville

Race Name and present address of Physician in attendance at birth

Signature of Applicant Hilda E. (Tracey) Keddy Address of Applicant Port Williams Date September 26, 1977

Relationship of Applicant to child same

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Hilda ElfredaTracey

Born at Lockhartville in the County of Kings

That Hilda ElfredaTracey Whose Birth is sought to be registered was

born at Lockhartville Kings County on October 20, 1920

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

Family Bible Record enclosed Marriage Record #42-02-114449 issued

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