Female Birth Registration: Year: 1920 number: 99000891
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PROVINCE OF NOVA SCOTIA
DELAYED REGISTRATION OF BIRTH
99000891
TO THE REGISTRAR GENERAL OF NOVA SCOTIA
I hereby make application for the Registration of Birth of GladysMombourquette Sex Female
Date of Birth June 25, 1920 Place of Birth South BarCounty of Cape Breton
Name of Father Peter Mombourquette MAIDEN NAME of Mother Mary Exilda Fougere
Were the Parents married at the time of the Birth? Yes
Residence of Father when child was born South Bar Present address of Father deceased
Occupation of Father at Birth of child Coal Trimmer Place of birth of Father Arichat
Race Name and present address of Physician in attendance at birth
Signature of Applicant Gladys Corbett Address of Applicant Sydney Date May 2, 1977
Relationship of Applicant to child self
AFFIDAVIT
IN THE MATTER of the application for the Registration of the Birth of GladysMombourquette
Born at South Bar in the County of Cape Breton
That GladysMombourquette Whose Birth is sought to be registered was
born at South Bar Cape Breton County on June 25, 1920
My knowledge of the fact and date of such Birth is based on the following Circumstances:
I had a baptismal certificate showing I was born on June 25, 1920, but same is now lost and church records are destroyed so no duplicate is obtainable
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=398573
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