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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000259

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Olive MarieMacKenzie Sex Female

Date of Birth September 13, 1923 Place of Birth LoganvilleCounty of Pictou

Name of Father James Murdoch MacKenzie MAIDEN NAME of Mother Jennie Gammon

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

Residence of Father when child was born Loganville Pictou Co. Ns Present address of Father Deceased

Occupation of Father at Birth of child Farmer Place of birth of Father Loganville, Pictou Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Jennie Gammon MacKenzie Address of Applicant RR #1, Scotsburn, Pictou Co., NS Date 23 August 1960

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Olive MarieMacKenzie

Born at Loganville in the County of Pictou

That Olive MarieMacKenzie Whose Birth is sought to be registered was

born at Loganville Pictou County on September 13, 1923

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

Mother Family Bible Marriage Records

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