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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

39900351

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Frederick GrantShupe Sex Male

Date of Birth December 2, 1924 Place of Birth HalifaxCounty of Halifax

Name of Father Enos Haliburton Shupe MAIDEN NAME of Mother Jennie Tryphena Knickle

Residence of Father when child was born 81 1/2 Allen Street, Halifax, NS Present address of Father Deceased

Occupation of Father at Birth of child Carpenter Place of birth of Father Martin's Point, Lunenburg Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Marion Shupe Address of Applicant 33 Liverpool Street, Halifax, NS Date 6 June 1932

Relationship of Applicant to child Sister

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Frederick GrantShupe

Born at Halifax in the County of Halifax

That Frederick GrantShupe Whose Birth is sought to be registered was

born at Halifax Halifax County on December 2, 1924

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

I was present at time of birth, nurse being Mrs. Croke, 45 Allen Street

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