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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

91600087

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Mary AlexandraMacKenzie Sex Female

Date of Birth October 22, 1921 Place of Birth SydneyCounty of Cape Breton

Name of Father John Daniel MacKenzie MAIDEN NAME of Mother Mary Christena Morrison

Residence of Father when child was born Sydney Mines, Cape Breton Co., NS Present address of Father Not Living

Occupation of Father at Birth of child Merchant Place of birth of Father Plaister Mines, Victoria Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. mary C. Brown Address of Applicant Long Hill, Baddeck, Victoria Co., NS Date 29 September 1941

Relationship of Applicant to child Her Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Mary AlexandraMacKenzie

Born at Sydney in the County of Cape Breton

That Mary AlexandraMacKenzie Whose Birth is sought to be registered was

born at Sydney Cape Breton County on October 22, 1921

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

I am her mother and remember and know exactly the date and place of her birth to be as set forth above herein. The attached certificate of baptism substantiates my statement as to the date and place of her birth.

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