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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

41200266

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Aileen BernadetteKersey Sex Female

Date of Birth November 19, 1919 Place of Birth HalifaxCounty of Halifax

Name of Father Patrick Kersey MAIDEN NAME of Mother Beatrise Burke

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

Residence of Father when child was born Halifax Present address of Father 5 Westmount St.

Occupation of Father at Birth of child Truckman Place of birth of Father Count Galway

Race Name and present address of Physician in attendance at birth Charles Surnton

Signature of Applicant Patrick Kersey Address of Applicant 5 Westmount St. Date 26 November 1919

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Aileen BernadetteKersey

Born at Halifax in the County of Halifax

That Aileen BernadetteKersey Whose Birth is sought to be registered was

born at Halifax Halifax County on November 19, 1919

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

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