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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

66700494

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth October 30, 1919 Place of Birth Sydney MinesCounty of Cape Breton

Name of Father Fred Moore MAIDEN NAME of Mother Margaret Ann McMahan

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

Residence of Father when child was born Sydney Mines Present address of Father 246 King William Row

Occupation of Father at Birth of child Miner Place of birth of Father Lancashire, England

Race Name and present address of Physician in attendance at birth Dr. Archibald

Signature of Applicant Fred Moore Address of Applicant 246 King William Row, Sydney Mines Date 06 November 1919

Relationship of Applicant to child father

AFFIDAVIT

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

Born at Sydney Mines in the County of Cape Breton

That GertrudeMoore Whose Birth is sought to be registered was

born at Sydney Mines Cape Breton County on October 30, 1919

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

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