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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000532

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Lillian ArleneShankle Sex Female

Date of Birth December 5, 1920 Place of Birth Middle LaHaveCounty of Lunenburg

Name of Father James  Shankle MAIDEN NAME of Mother Jessie Corkum

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

Residence of Father when child was born Middle LaHave Present address of Father deceased

Occupation of Father at Birth of child fisherman Place of birth of Father Middle LaHave

Race anglo-saxon Name and present address of Physician in attendance at birth Dr. G. Barass, deceased

Signature of Applicant Lillian Arlene Woolley Address of Applicant Dartmouth Date March 5, 1970

Relationship of Applicant to child self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Lillian ArleneShankle

Born at Middle LaHave in the County of Lunenburg

That Lillian ArleneShankle Whose Birth is sought to be registered was

born at Middle LaHave Lunenburg County on December 5, 1920

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

I am a sister of the father of Lillian Arlene Shankle, now Woolley, and I have always known that she was born on that date and we have celebrated her birthdays, based on her birth on December 5, 1920.

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