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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000506

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of ChristeneMacGibbon Sex Female

Date of Birth October 25, 1922 Place of Birth SydneyCounty of Cape Breton

Name of Father Alexander MacGibbon MAIDEN NAME of Mother Margaret Morrison

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

Residence of Father when child was born Sydney, Cape Breton Present address of Father Deceased

Occupation of Father at Birth of child Carpenter Place of birth of Father Mira Ferry, Cape Breton

Race Name and present address of Physician in attendance at birth

Signature of Applicant Margaret Killam Address of Applicant RR #3, Sydney River, Cape Breton Date 15 February 1974

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of ChristeneMacGibbon

Born at Sydney in the County of Cape Breton

That ChristeneMacGibbon Whose Birth is sought to be registered was

born at Sydney Cape Breton County on October 25, 1922

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

I am the mother of the said Christene MacGibbon.

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