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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000826

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of JosephMacKenzie Sex Male

Date of Birth December 4, 1923 Place of Birth AntigonishCounty of Antigonish

Name of Father John MacKenzie MAIDEN NAME of Mother Mary MacGillivray

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

Residence of Father when child was born Beech Hill Antigonish Co. Ns Present address of Father Deceased

Occupation of Father at Birth of child Farmer Place of birth of Father Beech Hill, Antigonish Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Glen W. Smith Address of Applicant RR #7, Beech Hill, Antigonish Co., NS Date 16 April 1982

Relationship of Applicant to child Brother in Law

AFFIDAVIT

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

Born at Antigonish in the County of Antigonish

That JosephMacKenzie Whose Birth is sought to be registered was

born at Antigonish Antigonish County on December 4, 1923

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

From Church records, as Parish Manager. From Joseph's mother, an invalid at the R. K. MacDonald Nursing Home.

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