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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100211

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Margaret CeciliaMacKenzie Sex Female

Date of Birth September 30, 1921 Place of Birth SydneyCounty of Cape Breton

Name of Father John MacKenzie MAIDEN NAME of Mother Ethel Brody

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

Residence of Father when child was born Sydney Mines Present address of Father Halifax

Occupation of Father at Birth of child Supervisor / Engineer Place of birth of Father Sydney

Race Name and present address of Physician in attendance at birth

Signature of Applicant Margaret Cecilia MacKenzie Address of Applicant 80 Spinney Dr. Halifax Date March 21, 1989

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Margaret CeciliaMacKenzie

Born at Sydney in the County of Cape Breton

That Margaret CeciliaMacKenzie Whose Birth is sought to be registered was

born at Sydney Cape Breton County on September 30, 1921

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

Baptism Marriage Extract

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