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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000711

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of KathleenKelly Sex Female

Date of Birth June 16, 1923 Place of Birth HalifaxCounty of Halifax

Name of Father Norman Kelly MAIDEN NAME of Mother Victoria Perry

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

Residence of Father when child was born Present address of Father

Occupation of Father at Birth of child Place of birth of Father

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Kathleen Leblanc Address of Applicant Church Point, Digby Co., NS Date 5 March 1979

Relationship of Applicant to child Same person

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of KathleenKelly

Born at Halifax in the County of Halifax

That KathleenKelly Whose Birth is sought to be registered was

born at Halifax Halifax County on June 16, 1923

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

I have seen the record of birth from the records of St. Josephs Orphanage, Halifax, NS and the certificate of baptism from St. Mary's Basilica, Halifax, NS

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