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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100306

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of John FranklinKeddy Sex Male

Date of Birth December 18, 1920 Place of Birth Martins RiverCounty of Lunenburg

Name of Father Stephen Keddy MAIDEN NAME of Mother Ella Maude Reeves

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

Residence of Father when child was born Martins River Present address of Father deceased

Occupation of Father at Birth of child Fisherman Place of birth of Father

Race Name and present address of Physician in attendance at birth

Signature of Applicant John F. Keddy Address of Applicant Ottawa Date November 12, 1984

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of John FranklinKeddy

Born at Martins River in the County of Lunenburg

That John FranklinKeddy Whose Birth is sought to be registered was

born at Martins River Lunenburg County on December 18, 1920

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

Certificate of Baptism St. Martins Anglican Rectory Dated July 1, 1984

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