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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100393

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Clara BeraSheppard Sex Female

Date of Birth October 10, 1920 Place of Birth New GlasgowCounty of Pictou

Name of Father William Howard Sheppard MAIDEN NAME of Mother Laura May  Collins

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

Residence of Father when child was born New Glasgow Present address of Father

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

Race Name and present address of Physician in attendance at birth

Signature of Applicant Marcelle Mackay Address of Applicant Greenfield Park, Quebec Date October 20, 1993

Relationship of Applicant to child Daughter

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Clara BeraSheppard

Born at New Glasgow in the County of Pictou

That Clara BeraSheppard Whose Birth is sought to be registered was

born at New Glasgow Pictou County on October 10, 1920

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

Letter from School Commissioner of New Glasgow (attached)

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