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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000978

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Evelyn MargaretWhalen Sex Female

Date of Birth February 14, 1923 Place of Birth LiverpoolCounty of Queens

Name of Father George Edward Whalen MAIDEN NAME of Mother Ellen Matilda Lannon

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

Residence of Father when child was born Liverpool Queens Co. Ns Present address of Father Deceased

Occupation of Father at Birth of child Seaman Place of birth of Father

Race Name and present address of Physician in attendance at birth

Signature of Applicant Evelyn M. Zub Address of Applicant 15 Manorcrest Street, Bramalea, Ontario Date 15 December 1986

Relationship of Applicant to child I am applicant (self)

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Evelyn MargaretWhalen

Born at Liverpool in the County of Queens

That Evelyn MargaretWhalen Whose Birth is sought to be registered was

born at Liverpool Queens County on February 14, 1923

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

Baptism certificate

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