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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000972

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Vivan EarleenMcCann Sex Female

Date of Birth November 20, 1921 Place of Birth WindsorCounty of Hants

Name of Father Clarence A. McCann MAIDEN NAME of Mother Ada May Smith

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

Residence of Father when child was born Windsor Present address of Father deceased

Occupation of Father at Birth of child Railway Fireman Place of birth of Father Windsor

Race Name and present address of Physician in attendance at birth

Signature of Applicant Pamela Cauvceau Address of Applicant 69A Lynn Dr. Date May 12, 1982

Relationship of Applicant to child Daughter

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Vivan EarleenMcCann

Born at Windsor in the County of Hants

That Vivan EarleenMcCann Whose Birth is sought to be registered was

born at Windsor Hants County on November 20, 1921

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

Division Registrars Certificate Marriage Extract

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