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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000656

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Ambrose GeorgeGilmet Sex Male

Date of Birth July 25, 1921 Place of Birth Glace BayCounty of Cape Breton

Name of Father George Gilmet MAIDEN NAME of Mother Theresa Haley

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

Occupation of Father at Birth of child Place of birth of Father Perth, Timmons, Ontario

Race French Name and present address of Physician in attendance at birth

Signature of Applicant A. Gilmet Address of Applicant 8119-73 Ave. Edmonton, Alberta Date August 5, 1976

Relationship of Applicant to child I am the child

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Ambrose GeorgeGilmet

Born at Glace Bay in the County of Cape Breton

That Ambrose GeorgeGilmet Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on July 25, 1921

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

Enrolling in school at Glace Bay (Sterling District) then the public school in New Aberdeen, then St. Johns School New Aberdeen and finally St. Annes School Glace Bay. Everything regarding my age works out with my memory.

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