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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000528

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of June MarieMacKenzie Sex Female

Date of Birth May 4, 1924 Place of Birth TrentonCounty of Pictou

Name of Father Alexander MacKenzie MAIDEN NAME of Mother Annie Connors

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

Residence of Father when child was born Trenton, Pictou Co., NS Present address of Father Deceased

Occupation of Father at Birth of child Steel Worker Place of birth of Father Springhill, Cumberland Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Joyce MacIntosh Address of Applicant Maple Court, Stellarton, Pictou Co., NS Date 13 January 1977

Relationship of Applicant to child Daughter

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of June MarieMacKenzie

Born at Trenton in the County of Pictou

That June MarieMacKenzie Whose Birth is sought to be registered was

born at Trenton Pictou County on May 4, 1924

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

Record of Baptism Drivers License Church record of Marriage & Confirmation

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