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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000525

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of AnnMacKenzie Sex Female

Date of Birth July 28, 1922 Place of Birth SydneyCounty of Cape Breton

Name of Father Colin MacKenzie MAIDEN NAME of Mother Cristine MacKinnon

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

Residence of Father when child was born Sydney, Cape Breton Present address of Father Deceased

Occupation of Father at Birth of child Lawyer Place of birth of Father Cape Breton

Race Name and present address of Physician in attendance at birth

Signature of Applicant Dylan Laffin Address of Applicant PO Box 1058, Halifax Date 20 November 1974

Relationship of Applicant to child None

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of AnnMacKenzie

Born at Sydney in the County of Cape Breton

That AnnMacKenzie Whose Birth is sought to be registered was

born at Sydney Cape Breton County on July 28, 1922

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

Baptismal Certificate.

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