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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

91700674

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Hazel IsabelKennedy Sex Female

Date of Birth April 25, 1923 Place of Birth WallbrookCounty of Kings

Name of Father Thomas Argyl Kennedy MAIDEN NAME of Mother Bessie Twilda Prescott

Residence of Father when child was born Wallbrook, Kings Co., NS Present address of Father Deceased

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

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Hazel I. Stevens Address of Applicant Wallbrook, Kings Co., NS Date 27 August 1943

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Hazel IsabelKennedy

Born at Wallbrook in the County of Kings

That Hazel IsabelKennedy Whose Birth is sought to be registered was

born at Wallbrook Kings County on April 25, 1923

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

A record in the family bible. I have examined the family bible record referred to in the affidavit and find that the date of birth of Hazel Isabel Kennedy is entered therein as April 25, 1923.

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