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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000861

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth September 18, 1923 Place of Birth StellartonCounty of Pictou

Name of Father Thomas William Ketson MAIDEN NAME of Mother Bertha May Heighton

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

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

Occupation of Father at Birth of child Miner Place of birth of Father Stellarton, Pictou Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Dorothy May Kitson Address of Applicant 14 Pleasant Street, Springhill, Cumberland Co., NS Date 6 May 1983

Relationship of Applicant to child Same person

AFFIDAVIT

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

Born at Stellarton in the County of Pictou

That Dorothy MayKitson Whose Birth is sought to be registered was

born at Stellarton Pictou County on September 18, 1923

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

Certificate of Baptism and all the years of my life

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