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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000110

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Eileen PhyllisGuinon Sex Female

Date of Birth January 29, 1920 Place of Birth TruroCounty of Colchester

Name of Father Thomas J.  Guinon MAIDEN NAME of Mother Marie E. Black

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

Residence of Father when child was born Truro Present address of Father Truro

Occupation of Father at Birth of child Trainman Place of birth of Father Truro

Race Irish Name and present address of Physician in attendance at birth Dr. S.A. Fulton

Signature of Applicant Thomas J. Guinon Address of Applicant Truro Date December 21, 1948

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Eileen PhyllisGuinon

Born at Truro in the County of Colchester

That Eileen PhyllisGuinon Whose Birth is sought to be registered was

born at Truro Colchester County on January 29, 1920

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

I am the father of Eileen Phyllis Guinon. I was present in the house when my daughter was born.

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