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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000615

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Dorothy ElizabethKeddy Sex Female

Date of Birth October 8, 1921 Place of Birth West BrooklynCounty of Kings

Name of Father Norman Leslie Keddy MAIDEN NAME of Mother Evelyn Alberta Pinch

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

Residence of Father when child was born West Brooklyn Present address of Father deceased

Occupation of Father at Birth of child Farmer Place of birth of Father New Ross

Race Name and present address of Physician in attendance at birth

Signature of Applicant Evelyn A. Keddy Address of Applicant RR3 Wolfville Date February 9, 1921

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Dorothy ElizabethKeddy

Born at West Brooklyn in the County of Kings

That Dorothy ElizabethKeddy Whose Birth is sought to be registered was

born at West Brooklyn Kings County on October 8, 1921

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

I am the mother of the said Dorothy Elizabeth Keddy and as such have personal knowledge of her birth. I have examined the attached documents and believe the school records and the census records of 1931 are correct.

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