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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000872

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Christena CatherineMacKenzie Sex Female

Date of Birth December 31, 1924 Place of Birth West BranchCounty of Pictou

Name of Father Daniel Kenneth MacKenzie MAIDEN NAME of Mother Christene Jane Wall

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

Residence of Father when child was born West Branch Present address of Father deceased

Occupation of Father at Birth of child Farmer Place of birth of Father Nova Scotia

Race Name and present address of Physician in attendance at birth

Signature of Applicant Christena Catherine Fraser Address of Applicant 517 Edward St. Woodstock, Ontario Date July 13, 1987

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Christena CatherineMacKenzie

Born at West Branch in the County of Pictou

That Christena CatherineMacKenzie Whose Birth is sought to be registered was

born at West Branch Pictou County on December 31, 1924

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

1) Census Report 2) National Registration of Canada Records 3) Extract from Marriage Record

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