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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000441

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Winnifred GereneShannon Sex Female

Date of Birth April 25, 1920 Place of Birth OxfordCounty of Cumberland

Name of Father James Daniel Shannon MAIDEN NAME of Mother Ena Grace King

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

Residence of Father when child was born Oxford Present address of Father deceased

Occupation of Father at Birth of child Railway Brakeman Place of birth of Father Joggins

Race Irish Name and present address of Physician in attendance at birth Dr. O.R. Salter, Oxford

Signature of Applicant W. Gerene Steeves Address of Applicant Moncton Date January 3, 1967

Relationship of Applicant to child self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Winnifred GereneShannon

Born at Oxford in the County of Cumberland

That Winnifred GereneShannon Whose Birth is sought to be registered was

born at Oxford Cumberland County on April 25, 1920

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

I am her mother and the above statement is correct in every detail.

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