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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000325

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth December 14, 1923 Place of Birth BaddeckCounty of Victoria

Name of Father Charles Dawson MacKenzie MAIDEN NAME of Mother Julia Ann Morrison

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

Residence of Father when child was born Baddeck Victoria Co. Ns Present address of Father Deceased

Occupation of Father at Birth of child Chauffeur & RCMP Place of birth of Father Baddeck, Victoria Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Julia Ann MacKay Address of Applicant Baddeck, Victoria Co., NS Date 13 July 1967

Relationship of Applicant to child Mother

AFFIDAVIT

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

Born at Baddeck in the County of Victoria

That Dorothy AnnMacKenzie Whose Birth is sought to be registered was

born at Baddeck Victoria County on December 14, 1923

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

I am the mother of the said Dorothy Ann MacKenzie

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