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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000598

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Annie MaeShea Sex Female

Date of Birth January 18, 1921 Place of Birth TatamagoucheCounty of Colchester

Name of Father David Shea MAIDEN NAME of Mother Mary Jane Joudrey

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

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

Occupation of Father at Birth of child Section Man on R.R. Place of birth of Father Tatamagouche

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

Signature of Applicant David Shea Address of Applicant Tatamagouche Date September 19, 1975

Relationship of Applicant to child Father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Annie MaeShea

Born at Tatamagouche in the County of Colchester

That Annie MaeShea Whose Birth is sought to be registered was

born at Tatamagouche Colchester County on January 18, 1921

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

I am the father of Annie Mae Shea and was home at the time of her birth

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