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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000608

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Laura Georgette MarieGaigneur Sex Female

Date of Birth February 25, 1921 Place of Birth StellartonCounty of Pictou

Name of Father Alexander Gaigneur MAIDEN NAME of Mother Adelle Dupuis

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

Residence of Father when child was born Stellarton Present address of Father deceased

Occupation of Father at Birth of child coal miner Place of birth of Father

Race Name and present address of Physician in attendance at birth

Signature of Applicant Laura G.M. Gaigneur Hendley Address of Applicant 390 Hazel Ave., London, Ontario Date October 24, 1975

Relationship of Applicant to child same person

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Laura Georgette MarieGaigneur

Born at Stellarton in the County of Pictou

That Laura Georgette MarieGaigneur Whose Birth is sought to be registered was

born at Stellarton Pictou County on February 25, 1921

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

I worked with Alexander Gaigneur in the coal mines at Stellarton, and was a close personal friend and neighbour of Adelle and Alexander Gaigneur and as such have knowledge of the births of their children, and have known their eldest child Laura Georgette Marie Gaigneur since her birth.

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