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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100419

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth March 7, 1920 Place of Birth AldershotCounty of Kings

Name of Father Benjamin Garfield Upshaw MAIDEN NAME of Mother Agnes Marguerite  Lindsay

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

Residence of Father when child was born Aldershot Present address of Father

Occupation of Father at Birth of child Place of birth of Father Windsor

Race Name and present address of Physician in attendance at birth

Signature of Applicant Gertrude Viola Upshaw Address of Applicant Nova Scotia Date October 25, 2005

Relationship of Applicant to child Self

AFFIDAVIT

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

Born at Aldershot in the County of Kings

That Gertrude ViolaUpshaw Whose Birth is sought to be registered was

born at Aldershot Kings County on March 7, 1920

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

Census National Registration Marriage Record

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