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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100388

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth November 11, 1920 Place of Birth Black PointCounty of Halifax

Name of Father Haliburton Jackson MAIDEN NAME of Mother Lois Verbena

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

Residence of Father when child was born Black Point Present address of Father

Occupation of Father at Birth of child Place of birth of Father Spry Harbour

Race Name and present address of Physician in attendance at birth

Signature of Applicant Gertrude Isabel Whidden Address of Applicant Victoria, British Columbia Date August 1991

Relationship of Applicant to child self

AFFIDAVIT

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

Born at Black Point in the County of Halifax

That Gertrude IsabelJackson Whose Birth is sought to be registered was

born at Black Point Halifax County on November 11, 1920

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

The reason I am not registered with vital statistics is due to the fact that I was delivered at home by a mid-wife, who neglected to register me.

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