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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000291

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth April 13, 1921 Place of Birth Ross FerryCounty of Victoria

Name of Father James Fraser McKenzie MAIDEN NAME of Mother Margaret Matheson

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

Residence of Father when child was born Ross Ferry Present address of Father Ross Ferry

Occupation of Father at Birth of child Mail Driver Place of birth of Father Ross Ferry

Race Anglo-Saxon Name and present address of Physician in attendance at birth Dr. H. Rindress

Signature of Applicant Mary C. Crowdis Address of Applicant R.R. 1 Bras d'Or Date March 13, 1961

Relationship of Applicant to child Self

AFFIDAVIT

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

Born at Ross Ferry in the County of Victoria

That Mary CatherineMcKenzie Whose Birth is sought to be registered was

born at Ross Ferry Victoria County on April 13, 1921

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

Baptismal Certificate annexed Marriage Record

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