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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000099

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Audrey VernaKeddy Sex Female

Date of Birth September 25, 1923 Place of Birth HalifaxCounty of Halifax

Name of Father Percy Keddy MAIDEN NAME of Mother Maud Willneff

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

Residence of Father when child was born Armdale Halifax Co. Ns Present address of Father Armdale, Halifax Co., NS

Occupation of Father at Birth of child Salesman Place of birth of Father Armdale, Halifax Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Maud Keddy Address of Applicant Armdale, Halifax Co., NS Date 14 June 1949

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Audrey VernaKeddy

Born at Halifax in the County of Halifax

That Audrey VernaKeddy Whose Birth is sought to be registered was

born at Halifax Halifax County on September 25, 1923

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

I am the mother of Audrey Verna Keddy

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