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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

91600074

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of William FrankMcKenna Sex Male

Date of Birth November 17, 1923 Place of Birth YarmouthCounty of Yarmouth

Name of Father George Hartley McKenna MAIDEN NAME of Mother Sarah Pippy North

Residence of Father when child was born Yarmouth, NS Present address of Father Yarmouth, NS

Occupation of Father at Birth of child Mechanic Place of birth of Father Yarmouth, NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant George Hartley McKenna Address of Applicant Yarmouth, NS Date 14 February 1942

Relationship of Applicant to child Father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of William FrankMcKenna

Born at Yarmouth in the County of Yarmouth

That William FrankMcKenna Whose Birth is sought to be registered was

born at Yarmouth Yarmouth County on November 17, 1923

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

I am his father, was at home at the time of his birth and know the date to be correct

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