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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

41200282

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Pearl CeciliaMcKenzie Sex Female

Date of Birth November 21, 1919 Place of Birth HalifaxCounty of Halifax

Name of Father Agustus MacKenzie MAIDEN NAME of Mother Hannah Cook McKay

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

Residence of Father when child was born Halifax Present address of Father 55 Maynard St.

Occupation of Father at Birth of child Elevator mechanic Place of birth of Father Murray Harbour, P.E.I.

Race Name and present address of Physician in attendance at birth Dr. F. Little

Signature of Applicant Agustus McKenzie Address of Applicant 55 Maynard St. Date 16 December 1919

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Pearl CeciliaMcKenzie

Born at Halifax in the County of Halifax

That Pearl CeciliaMcKenzie Whose Birth is sought to be registered was

born at Halifax Halifax County on November 21, 1919

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

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