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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000283

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth October 6, 1922 Place of Birth Tancook IslandCounty of Lunenburg

Name of Father Winton Roy Langille MAIDEN NAME of Mother Odessa Jane Stevens

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

Residence of Father when child was born Heckmans Island, Lunenburg Present address of Father Isaacs Harbour, Guysborough

Occupation of Father at Birth of child Fisherman Place of birth of Father Tancook Island, Lunenburg

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Helen P. Myers Address of Applicant 101 School Avenue, Fairview, Halifax Date 12 May 1962

Relationship of Applicant to child Self

AFFIDAVIT

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

Born at Tancook Island in the County of Lunenburg

That Helen PeggyLangille Whose Birth is sought to be registered was

born at Tancook Island Lunenburg County on October 6, 1922

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

Information read from parents. Census record. National Registration record.

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