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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100161

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Bessie GenettaKeddy Sex Female

Date of Birth September 4, 1921 Place of Birth Lake RamseyCounty of Lunenburg

Name of Father Laurance Keddy MAIDEN NAME of Mother Annie Bowran

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

Residence of Father when child was born Lake Ramsey Present address of Father deceased

Occupation of Father at Birth of child Cooper Place of birth of Father Lake Ramsey

Race Name and present address of Physician in attendance at birth

Signature of Applicant Bessie LeBlanc Address of Applicant 20 Chestnut St. Pictou Date March 24, 1986

Relationship of Applicant to child I am the applicant

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Bessie GenettaKeddy

Born at Lake Ramsey in the County of Lunenburg

That Bessie GenettaKeddy Whose Birth is sought to be registered was

born at Lake Ramsey Lunenburg County on September 4, 1921

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

Baptism Certificate enclosed

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