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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

91900779

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Dorothy SalleyMacKeen Sex Female

Date of Birth November 15, 1921 Place of Birth HalifaxCounty of Halifax

Name of Father John C. MacKeen MAIDEN NAME of Mother Dorothy Salley

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

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

Occupation of Father at Birth of child Investment Banker Place of birth of Father Halifax, NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant John C. MacKeen Address of Applicant "Bilton" Francklyn Street, Halifax, NS Date 7 September 1945

Relationship of Applicant to child Father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Dorothy SalleyMacKeen

Born at Halifax in the County of Halifax

That Dorothy SalleyMacKeen Whose Birth is sought to be registered was

born at Halifax Halifax County on November 15, 1921

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

That I am the father of Dorothy Salley MacKeen, above mentioned and remember the event of the birth very clearly.

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