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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

91700673

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Winnifred MarionKelsey Sex Female

Date of Birth October 11, 1921 Place of Birth Middle SackvilleCounty of Halifax

Name of Father Osborne Davis Kelsey MAIDEN NAME of Mother Jannette Parsons

Residence of Father when child was born Middle Sackville, Halifax Co., NS Present address of Father Middle Sackville, Halifax Co., NS

Occupation of Father at Birth of child Labourer Place of birth of Father Sackville, Halifax Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Janett Kelsey Address of Applicant Middle Sackville, Halifax Co., NS Date 5 May 1943

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Winnifred MarionKelsey

Born at Middle Sackville in the County of Halifax

That Winnifred MarionKelsey Whose Birth is sought to be registered was

born at Middle Sackville Halifax County on October 11, 1921

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

She was born three years after the War of 1914-18. I am the mother of Winnifred Marion Kelsey and know she was born October 11, 1921.

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