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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

66700540

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Mary MatildaKennedy Sex Female

Date of Birth October 10, 1919 Place of Birth LouisburgCounty of Cape Breton

Name of Father Richard Bernard Kennedy MAIDEN NAME of Mother Katherine Kennedy

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

Residence of Father when child was born Louisburg Present address of Father

Occupation of Father at Birth of child Coal shipper Place of birth of Father Louisburg

Race Name and present address of Physician in attendance at birth Dr. D.A. Morrison

Signature of Applicant Richard Kennedy Address of Applicant Louisburg Date 17 November 1919

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Mary MatildaKennedy

Born at Louisburg in the County of Cape Breton

That Mary MatildaKennedy Whose Birth is sought to be registered was

born at Louisburg Cape Breton County on October 10, 1919

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

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