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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000356

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Margaret HelenMacKenzie Sex Female

Date of Birth April 15, 1924 Place of Birth StellartonCounty of Pictou

Name of Father James W. MacKenzie MAIDEN NAME of Mother Margaret Johnson

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 Main Street, Trenton, Pictou Co., NS

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

Race Name and present address of Physician in attendance at birth

Signature of Applicant Margaret Helen MacKenzie Address of Applicant 171 Munro Avenue, New Glasgow, Pictou Co., NS Date 6 October 1970

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Margaret HelenMacKenzie

Born at Stellarton in the County of Pictou

That Margaret HelenMacKenzie Whose Birth is sought to be registered was

born at Stellarton Pictou County on April 15, 1924

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

School record and I am her father in law

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