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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

66700068

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of ClarissaGallant Sex Female

Date of Birth December 30, 1919 Place of Birth North SydneyCounty of Cape Breton

Name of Father Augustus Gallant MAIDEN NAME of Mother Gertrude Delmey

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

Residence of Father when child was born North Sydney Present address of Father Commercial St.

Occupation of Father at Birth of child Labourer Place of birth of Father Newfoundland

Race Name and present address of Physician in attendance at birth Dr. M.J. McLean

Signature of Applicant Augustus Gallant Address of Applicant Commercial St., North Sydney Date 14 January 1920

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of ClarissaGallant

Born at North Sydney in the County of Cape Breton

That ClarissaGallant Whose Birth is sought to be registered was

born at North Sydney Cape Breton County on December 30, 1919

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

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