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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000748

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Eleanor JeanGregoire Sex Female

Date of Birth August 14, 1921 Place of Birth HalifaxCounty of Halifax

Name of Father William Gregoire MAIDEN NAME of Mother Laura McCallum

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

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

Occupation of Father at Birth of child Carpenter Place of birth of Father Halifax

Race Name and present address of Physician in attendance at birth

Signature of Applicant Eleanor J. Gregoire Mader Address of Applicant 4572 N. Mulligan Ave. Chicago, Illinois, USA Date May 12, 1976

Relationship of Applicant to child Applicant and child are the same person

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Eleanor JeanGregoire

Born at Halifax in the County of Halifax

That Eleanor JeanGregoire Whose Birth is sought to be registered was

born at Halifax Halifax County on August 14, 1921

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

I have known William and Laura Gregoire, and their family, for over forty years. I am also married to their youngest daughter Eleanor, the applicant, for thirty six years and have two children of our own. Also enclosed is a most recent copy of Eleanors baptismal record from St. Agnes Catholic Church in Halifax, certifying her date of birth as 14th, August, 1921.

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