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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100304

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth July 13, 1920 Place of Birth New GlasgowCounty of Pictou

Name of Father William Joseph Paquet MAIDEN NAME of Mother Mary Angelina  Peters

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 Accountant Place of birth of Father Souris, Prince Edward Island

Race Name and present address of Physician in attendance at birth

Signature of Applicant Gertrude Evangeline Marsh Address of Applicant Moncton Date January 23, 1985

Relationship of Applicant to child self

AFFIDAVIT

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

Born at New Glasgow in the County of Pictou

That Gertrude EvangelinePaquet Whose Birth is sought to be registered was

born at New Glasgow Pictou County on July 13, 1920

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

Enclosing a copy of my Baptism [Certificate] which satisfies a Class "A" Document

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