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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000209

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Wilena RebeccaWhite Sex Female

Date of Birth October 9, 1923 Place of Birth BoularderieCounty of Cape Breton

Name of Father Samuel White MAIDEN NAME of Mother Margaret Nijarsk

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

Residence of Father when child was born Boularderie Cape Breton Co. Ns Present address of Father Boularderie, Cape Breton Co., NS

Occupation of Father at Birth of child Farmer Place of birth of Father Austria

Race Name and present address of Physician in attendance at birth

Signature of Applicant J. B. Kyte Address of Applicant Bras d'Or, Cape Breton Co., NS Date 18 February 1957

Relationship of Applicant to child None

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Wilena RebeccaWhite

Born at Boularderie in the County of Cape Breton

That Wilena RebeccaWhite Whose Birth is sought to be registered was

born at Boularderie Cape Breton County on October 9, 1923

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

From entry made in the Baptismal register of this parish. See certificate attached herewith.

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