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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100046

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Hafalda Agnes RosaMacKenzie Sex Female

Date of Birth August 21, 1923 Place of Birth Sydney MinesCounty of Cape Breton

Name of Father John MacKenzie MAIDEN NAME of Mother Ethel Brady

Were the Parents married at the time of the Birth? No

Residence of Father when child was born Sydney Mines Present address of Father Halifax

Occupation of Father at Birth of child Mechanist Place of birth of Father Sydney Mines

Race Name and present address of Physician in attendance at birth

Signature of Applicant Thelma Flinn Address of Applicant 31 Briarwood Cres. Halifax Date March 22, 1989

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Hafalda Agnes RosaMacKenzie

Born at Sydney Mines in the County of Cape Breton

That Hafalda Agnes RosaMacKenzie Whose Birth is sought to be registered was

born at Sydney Mines Cape Breton County on August 21, 1923

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

Baptism Marriage

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