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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000692

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Catherine MargaretMacKenzie Sex Female

Date of Birth November 12, 1924 Place of Birth SydneyCounty of Cape Breton

Name of Father Daniel MacKenzie MAIDEN NAME of Mother Mary Marr

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

Residence of Father when child was born Sydney, Cape Breton Co., SN Present address of Father Deceased

Occupation of Father at Birth of child Steel Worker Place of birth of Father West Bay, Richmond Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Catherine Margaret MacKenzie Address of Applicant 208 Gatacre Street, Sydney, Cape Breton Co., NS Date 26 October 1980

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Catherine MargaretMacKenzie

Born at Sydney in the County of Cape Breton

That Catherine MargaretMacKenzie Whose Birth is sought to be registered was

born at Sydney Cape Breton County on November 12, 1924

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

I am her older sister School & Family records

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