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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000454

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Kenneth CecilReeves Sex Male

Date of Birth September 20, 1922 Place of Birth KentvilleCounty of Kings

Name of Father Cecil Emery Reeves MAIDEN NAME of Mother Viola Louise Brown

Were the Parents married at the time of the Birth? No

Residence of Father when child was born Cambridge, Kings Present address of Father Cambridge, Kings

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

Race Name and present address of Physician in attendance at birth

Signature of Applicant Kenneth C. Reeves Address of Applicant Dartmouth, Halifax Date 18 August 1971

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Kenneth CecilReeves

Born at Kentville in the County of Kings

That Kenneth CecilReeves Whose Birth is sought to be registered was

born at Kentville Kings County on September 20, 1922

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

National registration, school record and extract from marriage.

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