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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000012

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Jean MargaretGahan Sex Female

Date of Birth February 23, 1922 Place of Birth KemptownCounty of Colchester

Name of Father   MAIDEN NAME of Mother Alice Gahan

Were the Parents married at the time of the Birth? No

Residence of Father when child was born Present address of Father

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

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. J. W. Gahan Address of Applicant RR 1, Upper Stewiacke, Colchester Date 19 June 1946

Relationship of Applicant to child Grandmother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Jean MargaretGahan

Born at Kemptown in the County of Colchester

That Jean MargaretGahan Whose Birth is sought to be registered was

born at Kemptown Colchester County on February 23, 1922

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

I have examined the family bible and found that Jean Margaret Gahan was born 23 February 1922

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