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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100024

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Eugene B.Canning Sex Male

Date of Birth September 28, 1923 Place of Birth West CaledoniaCounty of Queens

Name of Father Bertram Canning MAIDEN NAME of Mother Annie Conway

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

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

Occupation of Father at Birth of child Farmer Place of birth of Father West Caledonia, Queens Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Eugene Canning Address of Applicant RR #1, Caledonia, Queens Co., NS Date 12 February 1988

Relationship of Applicant to child Same

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Eugene B.Canning

Born at West Caledonia in the County of Queens

That Eugene B.Canning Whose Birth is sought to be registered was

born at West Caledonia Queens County on September 28, 1923

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

Eugene was a school pupil of mine at the age of five years when I taught in West Caledonia, Queens Co., NS. Previous to that I knew him from the date of his birth, September 28, 1923 as his family lived near mine. 1. Baptismal Certificate

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