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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100081

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Geraldine BerniceCorbin Sex Female

Date of Birth December 12, 1921 Place of Birth AmherstCounty of Cumberland

Name of Father Clarence E. Corbin MAIDEN NAME of Mother Clarissa Riley

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

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

Occupation of Father at Birth of child CNR Place of birth of Father Cherry Brook

Race Name and present address of Physician in attendance at birth

Signature of Applicant Carolyn Thomas Address of Applicant East PReston Date February 11, 1985

Relationship of Applicant to child Cousin

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Geraldine BerniceCorbin

Born at Amherst in the County of Cumberland

That Geraldine BerniceCorbin Whose Birth is sought to be registered was

born at Amherst Cumberland County on December 12, 1921

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

Baptism Marriage Extract

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