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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000458

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth December 30, 1923 Place of Birth HalifaxCounty of Halifax

Name of Father Reuben Kerr MAIDEN NAME of Mother Minnie Matatall

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

Residence of Father when child was born Halifax Ns Present address of Father 8375 Hochelaga Street, Montreal, Quebec

Occupation of Father at Birth of child Labourer - Canadian National Railway Place of birth of Father Bonaventure, Quebec

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Dorothy Sheppard Address of Applicant 125 Greenbrier Drive, Waterloo, Ontario Date 26 January 1973

Relationship of Applicant to child Self

AFFIDAVIT

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

Born at Halifax in the County of Halifax

That Dorothy MayKerr Whose Birth is sought to be registered was

born at Halifax Halifax County on December 30, 1923

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

I inspected and verified a baptismal certificate referring to the birth of Dorothy May Kerr and prepared a material copy of it.

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