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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100100

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Percy LeroyWamback Sex Male

Date of Birth March 22, 1922 Place of Birth East JordanCounty of Shelburne

Name of Father James Daniel Wamback MAIDEN NAME of Mother Carrie Burke

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

Residence of Father when child was born East Jordan, Shelburne Present address of Father Deceased

Occupation of Father at Birth of child Fisherman Place of birth of Father West Dublin, Lunenburg

Race Name and present address of Physician in attendance at birth

Signature of Applicant Percy L. Wamback Address of Applicant c/o General Delivery, Shelburne B0T 1W0 Date 1 December 1986

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Percy LeroyWamback

Born at East Jordan in the County of Shelburne

That Percy LeroyWamback Whose Birth is sought to be registered was

born at East Jordan Shelburne County on March 22, 1922

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

I am Percys sister. I remember his birth. He was delivered by midwife Mrs. Lucy Bethune of East Jordan. I was past 7 years old at the time. He was the first boy born in the family after four girls, at last. We had a brother! We were happy.

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