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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000794

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Seraphine GertrudeFitzgerald Sex Female

Date of Birth May 22, 1920 Place of Birth Comeaus HillCounty of Yarmouth

Name of Father Leon Fitzgerald MAIDEN NAME of Mother Marie Genevieve Deviller

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

Residence of Father when child was born Comeau's Hill Present address of Father deceased

Occupation of Father at Birth of child Fisherman Place of birth of Father Comeau's Hill

Race Name and present address of Physician in attendance at birth

Signature of Applicant Linda G. Fitzgerald Address of Applicant Carleton Date August 17, 1976

Relationship of Applicant to child daughter

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Seraphine GertrudeFitzgerald

Born at Comeaus Hill in the County of Yarmouth

That Seraphine GertrudeFitzgerald Whose Birth is sought to be registered was

born at Comeaus Hill Yarmouth County on May 22, 1920

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

A certificate of Baptism, St. Michael's Church, Wedgeport shows Seraphine Gertrude Fitzgerald born May 22, 1920. Baptized May 23, 1920.

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