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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000227

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of DonaldKennedy Sex Male

Date of Birth July 15, 1921 Place of Birth Glace BayCounty of Cape Breton

Name of Father James Kennedy MAIDEN NAME of Mother Elspeth Janet Bannerman

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

Residence of Father when child was born Glace Bay Present address of Father deceased

Occupation of Father at Birth of child Chief Checker Coal Company Place of birth of Father Baddeck

Race White Name and present address of Physician in attendance at birth Dr. A. Calder

Signature of Applicant Elspeth J. Kennedy Address of Applicant 186 South St. Glace Bay Date September 27, 1956

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of DonaldKennedy

Born at Glace Bay in the County of Cape Breton

That DonaldKennedy Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on July 15, 1921

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

I am his Mother Family Bible Record and School Records

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