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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000163

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Alexander ColinMacKenzie Sex Male

Date of Birth November 18, 1923 Place of Birth HalifaxCounty of Halifax

Name of Father Frank Blake MacKenzie MAIDEN NAME of Mother Sophia Grace Cook

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

Residence of Father when child was born Fairview Halifax Co. Ns Present address of Father Wallace, Cumberland Co., NS

Occupation of Father at Birth of child Railway Mail Clerk Place of birth of Father Truro, Colchester Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Sophia G. MacKenzie Address of Applicant Wallace, Cumberland Co., NS Date 13 April 1953

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Alexander ColinMacKenzie

Born at Halifax in the County of Halifax

That Alexander ColinMacKenzie Whose Birth is sought to be registered was

born at Halifax Halifax County on November 18, 1923

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

That I am the mother of the said Alexander Colin MacKenzie (School record and hospital record)

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