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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000823

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Marjorie EllenWhalen Sex Female

Date of Birth July 4, 1924 Place of Birth IngonishCounty of Victoria

Name of Father George Whalen MAIDEN NAME of Mother Josephine McLellan

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

Residence of Father when child was born Ingonish Present address of Father deceased

Occupation of Father at Birth of child Coal Miner Place of birth of Father Newfoundland

Race Name and present address of Physician in attendance at birth

Signature of Applicant Marjorie Ellen Whalen Address of Applicant 53 Lakehurst Drive, St. Catherine's Ontario Date July 19, 1985

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Marjorie EllenWhalen

Born at Ingonish in the County of Victoria

That Marjorie EllenWhalen Whose Birth is sought to be registered was

born at Ingonish Victoria County on July 4, 1924

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

Baptism and school records submitted to support particulars of birth, and given names as acquired at an early age from foster parents Thomas and Mary Ellen (LeBlanc) Gorman, who are identified as my parents on marriage record No. 43-02-121176.

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