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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

92000849

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth September 16, 1923 Place of Birth StrathlorneCounty of Inverness

Name of Father Dan Kennedy MAIDEN NAME of Mother Sarah MacDonald

Residence of Father when child was born Strathlorne, Inverness Co., NS Present address of Father Strathlorne, Inverness Co., NS

Occupation of Father at Birth of child Farmer Place of birth of Father Sight Point, Inverness Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Sarah Kennedy Address of Applicant 2208 Lillian Street, Windsor, Ontario Date 11 October 1941

Relationship of Applicant to child Mother

AFFIDAVIT

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

Born at Strathlorne in the County of Inverness

That Dorothy JaneKennedy Whose Birth is sought to be registered was

born at Strathlorne Inverness County on September 16, 1923

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

Natural mother and certificate of birth and baptism

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