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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000976

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth June 20, 1921 Place of Birth Upper Baddeck RiverCounty of Victoria

Name of Father Daniel Kerr MAIDEN NAME of Mother Mary Alvivte MacDonald

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

Residence of Father when child was born Upper Baddeck River Present address of Father deceased

Occupation of Father at Birth of child Farmer Place of birth of Father Cape North

Race Name and present address of Physician in attendance at birth

Signature of Applicant Catherine Kerr Address of Applicant RR2 Baddeck Date MArch 19, 1982

Relationship of Applicant to child Wife

AFFIDAVIT

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

Born at Upper Baddeck River in the County of Victoria

That CharlesKerr Whose Birth is sought to be registered was

born at Upper Baddeck River Victoria County on June 20, 1921

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

I was a close relative, and neighbour when he was born.

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