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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100349

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Allister M.MacKenzie Sex Male

Date of Birth September 3, 1920 Place of Birth GairlochCounty of Pictou

Name of Father Angus D. MacKenzie MAIDEN NAME of Mother Jean MacKenzie

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

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

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

Race Name and present address of Physician in attendance at birth

Signature of Applicant Nora Ferguson Address of Applicant West River Station Date July 1985

Relationship of Applicant to child none

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Allister M.MacKenzie

Born at Gairloch in the County of Pictou

That Allister M.MacKenzie Whose Birth is sought to be registered was

born at Gairloch Pictou County on September 3, 1920

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

By looking at the Gairloch School Registers

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