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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000235

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Anna GenevraWarrington Sex Female

Date of Birth September 5, 1921 Place of Birth LiverpoolCounty of Queens

Name of Father Harry Morray Warrignton MAIDEN NAME of Mother Anna Genevra Lawrence

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

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

Occupation of Father at Birth of child Marine Engineer Place of birth of Father Shelburne County

Race European Name and present address of Physician in attendance at birth T.R. Ford M.D.

Signature of Applicant Mrs. G.A. Tupper Address of Applicant 5964 W. 16 Ave. Vancouver, British Columbia Date September 4, 1956

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Anna GenevraWarrington

Born at Liverpool in the County of Queens

That Anna GenevraWarrington Whose Birth is sought to be registered was

born at Liverpool Queens County on September 5, 1921

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

I have known Mrs. Genevra Tupper for the past ten years. I have examined her Baptismal Certificate and attach copy and affidavit herewith

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