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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000034

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Theodore LeonKeddy Sex Male

Date of Birth June 18, 1922 Place of Birth New RossCounty of Lunenburg

Name of Father Edward James Keddy MAIDEN NAME of Mother Lola Bezanson

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

Residence of Father when child was born New Ross, Lunenburg Present address of Father New Ross, Lunenburg

Occupation of Father at Birth of child Millwright Place of birth of Father New Ross, Lunenburg

Race Name and present address of Physician in attendance at birth

Signature of Applicant Hibbert N. Keddy Address of Applicant New Ross, Lunenburg Date 12 August 1947

Relationship of Applicant to child Uncle

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Theodore LeonKeddy

Born at New Ross in the County of Lunenburg

That Theodore LeonKeddy Whose Birth is sought to be registered was

born at New Ross Lunenburg County on June 18, 1922

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

I am the uncle of the said Theodore Leon Keddy and know that he was born at New Ross, June 18, 1922

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