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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100039

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Merna AritaKeddy Sex Female

Date of Birth March 18, 1920 Place of Birth Starrs PointCounty of Kings

Name of Father Harvie Keddy MAIDEN NAME of Mother Bessie Turner

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

Residence of Father when child was born Starr's Point Present address of Father deceased

Occupation of Father at Birth of child Carpenter Place of birth of Father not known

Race Name and present address of Physician in attendance at birth

Signature of Applicant Donna C. Parker Address of Applicant Newport Date December 18, 1979

Relationship of Applicant to child friend

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Merna AritaKeddy

Born at Starrs Point in the County of Kings

That Merna AritaKeddy Whose Birth is sought to be registered was

born at Starrs Point Kings County on March 18, 1920

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

Baptismal

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