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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

64500099

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of ViolaShea Sex Female

Date of Birth November 29, 1919 Place of Birth AmherstCounty of Cumberland

Name of Father Wylie Shea MAIDEN NAME of Mother Minnie Corimer

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

Residence of Father when child was born Amherst Present address of Father 6 Alma St.

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

Race Name and present address of Physician in attendance at birth Dr. MacIntosh

Signature of Applicant Wylie Shea Address of Applicant 6 Alma St., Amherst Date 11 January 1920

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of ViolaShea

Born at Amherst in the County of Cumberland

That ViolaShea Whose Birth is sought to be registered was

born at Amherst Cumberland County on November 29, 1919

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

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