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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

41200369

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Celina JeanGallant Sex Female

Date of Birth December 8, 1919 Place of Birth HalifaxCounty of Halifax

Name of Father Arthur Edgar Gallant MAIDEN NAME of Mother Gladys Irene Starratt

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

Residence of Father when child was born Halifax Present address of Father 21 Sebastian Place

Occupation of Father at Birth of child Riveter Place of birth of Father Summerside, P.E.I.

Race Name and present address of Physician in attendance at birth Dr. R.F. O'Brien

Signature of Applicant Arthur Edgar Gallant Address of Applicant 21 Sebastian Place Date 15 December 1919

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Celina JeanGallant

Born at Halifax in the County of Halifax

That Celina JeanGallant Whose Birth is sought to be registered was

born at Halifax Halifax County on December 8, 1919

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

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