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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000037

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Wilbert GlendonAllen Sex Male

Date of Birth December 1, 1921 Place of Birth Parrsboro ShoreCounty of Cumberland

Name of Father Emery Palmer Allen MAIDEN NAME of Mother Ethel Bennett

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

Residence of Father when child was born Parrsboro Shore Present address of Father Parrsboro Shore

Occupation of Father at Birth of child Farmer Place of birth of Father Parrsboro Shore

Race White Name and present address of Physician in attendance at birth Dr. M.J. Fillmore

Signature of Applicant Emery P. Allen Address of Applicant Parrsboro Shroe Date July 19, 1946

Relationship of Applicant to child Father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Wilbert GlendonAllen

Born at Parrsboro Shore in the County of Cumberland

That Wilbert GlendonAllen Whose Birth is sought to be registered was

born at Parrsboro Shore Cumberland County on December 1, 1921

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

Personal knowledge and certificate by attending physician at birth.

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