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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

93300649

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Odessa WhillimineWilcox Sex Female

Date of Birth September 17, 1906 Place of Birth BoylstonCounty of Guysborough

Name of Father John M. Wilcox MAIDEN NAME of Mother Annie May Jones

Residence of Father when child was born Boylston Present address of Father Boylston

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

Race Scottish Name and present address of Physician in attendance at birth Dr. G.E. Buckley

Signature of Applicant Annie May Wilcox Address of Applicant Boylston Date 16 October 1925

Relationship of Applicant to child mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Odessa WhillimineWilcox

Born at Boylston in the County of Guysborough

That Odessa WhillimineWilcox Whose Birth is sought to be registered was

born at Boylston Guysborough County on September 17, 1906

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

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