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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100228

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Kathleen BerniceBoyd Sex Female

Date of Birth June 15, 1921 Place of Birth FalmouthCounty of Hants

Name of Father Cecil Morton Boyd MAIDEN NAME of Mother Katie Evelyn Price

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

Residence of Father when child was born Falmouth Present address of Father

Occupation of Father at Birth of child Place of birth of Father Falmouth

Race Name and present address of Physician in attendance at birth

Signature of Applicant Kathleen Bernice Boyd Dempsey Address of Applicant RR2 Falmouth Date April 17, 1996

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Kathleen BerniceBoyd

Born at Falmouth in the County of Hants

That Kathleen BerniceBoyd Whose Birth is sought to be registered was

born at Falmouth Hants County on June 15, 1921

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

Baptism, Marriage Extract

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