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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000049

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Marjorie VernaKelley Sex Female

Date of Birth May 13, 1923 Place of Birth WatervilleCounty of Kings

Name of Father George Henry Kelley MAIDEN NAME of Mother Alice Reeves

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

Residence of Father when child was born Waterville Kings Co. Ns Present address of Father Berwick, Kings Co., NS

Occupation of Father at Birth of child Farmer Place of birth of Father Cambridge, Kings Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Alice Kelley Address of Applicant Berwick, Kings Co., NS Date 27 May 1947

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Marjorie VernaKelley

Born at Waterville in the County of Kings

That Marjorie VernaKelley Whose Birth is sought to be registered was

born at Waterville Kings County on May 13, 1923

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

That I am the mother of said Marjorie Verna Kelley and have a personal knowledge of the facts herein deposed to.

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