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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000397

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Ida IsabelleMacKenzie Sex Female

Date of Birth May 5, 1921 Place of Birth Toney RiverCounty of Pictou

Name of Father Angus Johnson MacKenzie MAIDEN NAME of Mother Grace Edna Dwyer

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

Residence of Father when child was born Toney River Present address of Father deceased

Occupation of Father at Birth of child Farmer Place of birth of Father Toney River

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

Signature of Applicant Grace E. MacKenzie Address of Applicant Box 610, Pictou Date December 6, 1968

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Ida IsabelleMacKenzie

Born at Toney River in the County of Pictou

That Ida IsabelleMacKenzie Whose Birth is sought to be registered was

born at Toney River Pictou County on May 5, 1921

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

I am her mother

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