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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

41200348

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth December 4, 1919 Place of Birth HalifaxCounty of Halifax

Name of Father Henry Vacheresse MAIDEN NAME of Mother Mary Bowley

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

Residence of Father when child was born Halifax Present address of Father 5 St. Albans St.

Occupation of Father at Birth of child Shoemaker Place of birth of Father Stellerton

Race Name and present address of Physician in attendance at birth Dr. C.S. Elliot

Signature of Applicant Henry Vacheresse Address of Applicant 5 St. Albans St. Date 08 December 1919

Relationship of Applicant to child father

AFFIDAVIT

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

Born at Halifax in the County of Halifax

That Gertrude LouiseVacheresse Whose Birth is sought to be registered was

born at Halifax Halifax County on December 4, 1919

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

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