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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000377

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Helen CatherineGreencorn Sex Female

Date of Birth December 13, 1921 Place of Birth Phillips HarbourCounty of Guysborough

Name of Father Wilbert Greencorn MAIDEN NAME of Mother Lila Beatrice Jamieson

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

Residence of Father when child was born Phillips Harbour Present address of Father Phillips Harbour

Occupation of Father at Birth of child Fish Handler Place of birth of Father Half Island Cove

Race White Name and present address of Physician in attendance at birth

Signature of Applicant Glenda J. Hattis Address of Applicant 2981 D Oxford St. Halifax Date July 17, 1967

Relationship of Applicant to child daughter

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Helen CatherineGreencorn

Born at Phillips Harbour in the County of Guysborough

That Helen CatherineGreencorn Whose Birth is sought to be registered was

born at Phillips Harbour Guysborough County on December 13, 1921

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

Certificate of Baptism

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