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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100237

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Henry WilliamMacKenzie Sex

Date of Birth June 24, 1920 Place of Birth Old Kings Road, SydneyCounty of Cape Breton

Name of Father Daniel MacKenzie MAIDEN NAME of Mother Mary Marr

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

Residence of Father when child was born Old Kings Road, Sydney Present address of Father deceased

Occupation of Father at Birth of child Steelworker Place of birth of Father Black River

Race Name and present address of Physician in attendance at birth Dr. John MacDonald & Carrie (MacKenzie) Morris, mid-wife

Signature of Applicant Catherine MacEachern Address of Applicant 208 Gatacre Street, Sydney Date November 16, 1983

Relationship of Applicant to child Sister

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Henry WilliamMacKenzie

Born at Old Kings Road, Sydney in the County of Cape Breton

That Henry WilliamMacKenzie Whose Birth is sought to be registered was

born at Old Kings Road, Sydney Cape Breton County on June 24, 1920

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

I, Carrie MacKenzie Morris, aunt of Henry William MacKenzie, his father Dan MacKenzie's sister, (born in 1899), kept house for my sister-in-law Mary Marr MacKenzie when Henry William MacKenzie was born, June 24th, 1920, attended Dr. John MacDonald as mid-wife (Signed by Carrie Morris)

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