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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100134

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Evelyn MayGallop Sex Female

Date of Birth April 16, 1921 Place of Birth North SydneyCounty of Cape Breton

Name of Father Herbert Frank Gallop MAIDEN NAME of Mother Catherine Letoureau

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

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

Occupation of Father at Birth of child Tailor Place of birth of Father Codroy, Newfoundland

Race Name and present address of Physician in attendance at birth

Signature of Applicant Evelyn May Clark Address of Applicant 1879 Russell Rd. Ottawa, Ontario Date October 21, 1985

Relationship of Applicant to child Applicant is individual requesting Birth

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Evelyn MayGallop

Born at North Sydney in the County of Cape Breton

That Evelyn MayGallop Whose Birth is sought to be registered was

born at North Sydney Cape Breton County on April 16, 1921

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

I am her sister I was born May 11, 1913. I know that I am 8 years older and therefore know she was born on April 16, 1921

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