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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000223

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Jean ElilzabethWilcox Sex Female

Date of Birth September 15, 1924 Place of Birth BridgewaterCounty of Lunenburg

Name of Father Percy Lawrence Wilcox MAIDEN NAME of Mother Florence Hare

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

Residence of Father when child was born Bridgewater, Lunenburg Co. Present address of Father

Occupation of Father at Birth of child Place of birth of Father Windsor, Hants Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Florence H. Wilcox Address of Applicant 59 Hawthorne Street, Dartmouth, NS Date 11 March 1960

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Jean ElilzabethWilcox

Born at Bridgewater in the County of Lunenburg

That Jean ElilzabethWilcox Whose Birth is sought to be registered was

born at Bridgewater Lunenburg County on September 15, 1924

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

Baptism record & bible record

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