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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100031

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Jane EmilySlaunwhite Sex Female

Date of Birth March 14, 1920 Place of Birth Terence BayCounty of Halifax

Name of Father Leander  Slaunwhite MAIDEN NAME of Mother Ellen Nowe

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

Residence of Father when child was born Terence Bay Present address of Father deceased

Occupation of Father at Birth of child Fisherman Place of birth of Father Terence Bay

Race Name and present address of Physician in attendance at birth

Signature of Applicant Jane Emily Jollimore Address of Applicant Terence Bay Date October 24, 1979

Relationship of Applicant to child same

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Jane EmilySlaunwhite

Born at Terence Bay in the County of Halifax

That Jane EmilySlaunwhite Whose Birth is sought to be registered was

born at Terence Bay Halifax County on March 14, 1920

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

Baptismal Certificate shows given names incorrectly: Mary Jane. Long form Birth Certificate of daughter shows middle name spelled incorrectly: Jane Emiely (should be Jane Emily)

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