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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000959

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Gertrude AlmaPettipas Sex Female

Date of Birth January 15, 1920 Place of Birth New GlasgowCounty of Pictou

Name of Father John Mark  Pettipas MAIDEN NAME of Mother Mary Storey

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

Residence of Father when child was born New Glasgow Present address of Father deceased

Occupation of Father at Birth of child Labourer- Pictou County Electric Company Place of birth of Father New Glasgow

Race Name and present address of Physician in attendance at birth

Signature of Applicant Gertrude Walsh Address of Applicant New Glasgow Date February 12, 1979

Relationship of Applicant to child same

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Gertrude AlmaPettipas

Born at New Glasgow in the County of Pictou

That Gertrude AlmaPettipas Whose Birth is sought to be registered was

born at New Glasgow Pictou County on January 15, 1920

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

Certificate of Baptism from Our Lady of Lourdes Church, Stellarton.

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