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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000358

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Christena InaSheparski Sex Female

Date of Birth September 3, 1924 Place of Birth ThorburnCounty of Pictou

Name of Father John Sheparski MAIDEN NAME of Mother Violet Ina Margaret Colestock

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

Residence of Father when child was born Thorburn, Pictou Co., NS Present address of Father Deceased

Occupation of Father at Birth of child Coal Miner Place of birth of Father Thorburn, Pictou Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Christena I. Walker Address of Applicant 8 Albany Avenue, Hamilton, Ontario Date 3 August 1971

Relationship of Applicant to child One and the same

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Christena InaSheparski

Born at Thorburn in the County of Pictou

That Christena InaSheparski Whose Birth is sought to be registered was

born at Thorburn Pictou County on September 3, 1924

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

Documentary proof of age in the form of a certificate of baptism and results of a search of the 1940 National Registration of Canada records support my belief and that of my mother that I was born at the before mentioned place and time

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