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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000038

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Howard NelsonMacKenzie Sex Male

Date of Birth October 16, 1922 Place of Birth SydneyCounty of Cape Breton

Name of Father Archie MacKenzie MAIDEN NAME of Mother Sarah Belle MacLeod

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

Residence of Father when child was born 451 George Street, Sydney, Cape Breton Present address of Father 269 Townsend Street, Sydney, Cape Breton

Occupation of Father at Birth of child Truckman Place of birth of Father Sydney, Cape Breton

Race Name and present address of Physician in attendance at birth

Signature of Applicant Sarah MacKenzie Address of Applicant 269 Townsend Street, Sydney, Cape Breton Date 1 August 1947

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Howard NelsonMacKenzie

Born at Sydney in the County of Cape Breton

That Howard NelsonMacKenzie Whose Birth is sought to be registered was

born at Sydney Cape Breton County on October 16, 1922

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

I am the mother of Howard Nelson MacKenzie

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