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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000204

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Kathleen MarionKing Sex Female

Date of Birth June 29, 1921 Place of Birth TidnishCounty of Cumberland

Name of Father Lloyd Marvin King MAIDEN NAME of Mother Maretta Mae Helm

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

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

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

Race English Name and present address of Physician in attendance at birth Dr. H.C.B. allen

Signature of Applicant Kathleen Arsenault Address of Applicant 9 Victor Ave. Amherst Date January 14, 1955

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Kathleen MarionKing

Born at Tidnish in the County of Cumberland

That Kathleen MarionKing Whose Birth is sought to be registered was

born at Tidnish Cumberland County on June 29, 1921

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

That I was a personal friend of her mother living at the next house and saw the child the day of her birth or the day after. The date is further fixed in my mind because my own daughter was born in June a year later. (Doctors Record - Marriage Record)

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