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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000213

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of William DuncanMacKenzie Sex Male

Date of Birth June 23, 1924 Place of Birth MalagashCounty of Cumberland

Name of Father Colin MacKenzie MAIDEN NAME of Mother Rosina Treen

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

Residence of Father when child was born Malagash, Cumberland Co., NS Present address of Father Deceased

Occupation of Father at Birth of child Farmer Place of birth of Father Malagash, Cumberland Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Rosina L. MacKenzie Address of Applicant Malagash, Cumberland Co., NS Date 11 August 1959

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of William DuncanMacKenzie

Born at Malagash in the County of Cumberland

That William DuncanMacKenzie Whose Birth is sought to be registered was

born at Malagash Cumberland County on June 23, 1924

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

1. Family Bible 2. Baptismal record 3. Statement of nurse

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