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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000404

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Gertrude HelenCrawley Sex Female

Date of Birth July 19, 1922 Place of Birth SydneyCounty of Cape Breton

Name of Father William Crawley MAIDEN NAME of Mother Annie Moore

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

Residence of Father when child was born Sydney Present address of Father Deceased

Occupation of Father at Birth of child Labourer Place of birth of Father Holyrood, Newfoundland

Race Name and present address of Physician in attendance at birth

Signature of Applicant Lois Butt Address of Applicant 323 Westmount Rd. Sydney Date 14 January 1971

Relationship of Applicant to child none

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Gertrude HelenCrawley

Born at Sydney in the County of Cape Breton

That Gertrude HelenCrawley Whose Birth is sought to be registered was

born at Sydney Cape Breton County on July 19, 1922

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

Baptismal Certificate of Gertrude Helen Crawley issued by Sacred Heart Parish, Sydney hereto annexed

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