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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000330

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Rosie GraceGilmet Sex Female

Date of Birth June 4, 1921 Place of Birth Glace BayCounty of Cape Breton

Name of Father Victor Gilmet MAIDEN NAME of Mother Grace Miller

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

Residence of Father when child was born Glace Bay Present address of Father deceased

Occupation of Father at Birth of child Fisherman Place of birth of Father Cornwall, Ontario

Race White Name and present address of Physician in attendance at birth deceased

Signature of Applicant Rosie Grace Gilmet Address of Applicant 698 Arthur St. Glace Bay Date April 30, 1964

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Rosie GraceGilmet

Born at Glace Bay in the County of Cape Breton

That Rosie GraceGilmet Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on June 4, 1921

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

It is the date of birth shown on Town School Records for the Town of Glace Bay, an extract from which is attached. It is also the date shown on the Family Bible Record of the late Victor Gilmet and his wife, Grace Gilmet, a certified extract from which is attached.

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