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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

91900303

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Mabel GertrudeMacKenzie Sex Female

Date of Birth September 3, 1922 Place of Birth PrinceportCounty of Colchester

Name of Father John Alexander MacKenzie MAIDEN NAME of Mother Mabel Elizabeth Carmichael

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

Residence of Father when child was born Princeport, Colchester Co., NS Present address of Father Princeport, Colchester Co., NS

Occupation of Father at Birth of child Farmer Place of birth of Father Princeport, Colchester Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Gertrude MacKenzie Address of Applicant Princeport, Colchester Co., NS Date 20 April 1945

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Mabel GertrudeMacKenzie

Born at Princeport in the County of Colchester

That Mabel GertrudeMacKenzie Whose Birth is sought to be registered was

born at Princeport Colchester County on September 3, 1922

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

That the said Gertrude MacKenzie is my niece also from family records in family bible which records state that the said Mabel Gertrude MacKenzie was born September 3, 1922 at Princeport, Colchester Co., NS

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