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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100154

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth December 16, 1921 Place of Birth Comeaus HillCounty of Yarmouth

Name of Father Joseph Kenney MAIDEN NAME of Mother Evangeline Deviller

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

Residence of Father when child was born Comeaus Hill Present address of Father deceased

Occupation of Father at Birth of child Ship Corker Place of birth of Father Comeaus Hill

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mary Velma Kenney Address of Applicant 90 Westmorland Rd. East St. John, New Brunswick Date November 27, 1985

Relationship of Applicant to child Self

AFFIDAVIT

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

Born at Comeaus Hill in the County of Yarmouth

That Mary VelmaKenney Whose Birth is sought to be registered was

born at Comeaus Hill Yarmouth County on December 16, 1921

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

I have enclosed my (Baptism Certificate) marked "A"

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