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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

92000713

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of EttaGaum Sex Female

Date of Birth April 22, 1920 Place of Birth SydneyCounty of Cape Breton

Name of Father Louis  Gaum MAIDEN NAME of Mother Pearl Morraff

Residence of Father when child was born Sydney Present address of Father Sydney

Occupation of Father at Birth of child Tailor Place of birth of Father Russia

Race White Name and present address of Physician in attendance at birth Dr. W. MacRae, Whitney Pier, Sydney

Signature of Applicant Pearl Gaum Address of Applicant Whitney Pier, Sydney Date August 21, 1941

Relationship of Applicant to child mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of EttaGaum

Born at Sydney in the County of Cape Breton

That EttaGaum Whose Birth is sought to be registered was

born at Sydney Cape Breton County on April 22, 1920

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

As I am her mother and I know

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