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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100074

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth March 9, 1921 Place of Birth Glace BayCounty of Cape Breton

Name of Father Murray Wilton MAIDEN NAME of Mother Margaret Cody Jobe

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

Residence of Father when child was born Glace Bay Present address of Father deceased

Occupation of Father at Birth of child Dominion Coal Place of birth of Father Glace Bay

Race Name and present address of Physician in attendance at birth

Signature of Applicant Helen May Wilton Address of Applicant Glace Bay Date November 9, 1984

Relationship of Applicant to child self

AFFIDAVIT

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

Born at Glace Bay in the County of Cape Breton

That Helen MayWilton Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on March 9, 1921

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

Information passed on by my parents, attached Glace Bay General Hospital Medical Records dept. Knox United Church records and copy of page from Family Bible.

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