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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100076

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Lena MayHannam Sex Female

Date of Birth January 28, 1921 Place of Birth Glace BayCounty of Cape Breton

Name of Father John Stanley Hannam MAIDEN NAME of Mother Mary Jane Willis

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

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

Occupation of Father at Birth of child Carpenter Place of birth of Father Harbour Le Cou, Newfoundland

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mary Jane Hannam Address of Applicant Glace Bay Date August 29, 1984

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Lena MayHannam

Born at Glace Bay in the County of Cape Breton

That Lena MayHannam Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on January 28, 1921

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

I am her mother and well remember the date of my daughters birth

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