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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000673

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Martha RosalineGaul Sex Female

Date of Birth April 20, 1922 Place of Birth SydneyCounty of Cape Breton

Name of Father thomas Gaul MAIDEN NAME of Mother Theresa Wilcox

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 Blacksmith Place of birth of Father St. John's, Newfoundland

Race Name and present address of Physician in attendance at birth

Signature of Applicant Martha R. Gillespie Address of Applicant Date 16 February 1978

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Martha RosalineGaul

Born at Sydney in the County of Cape Breton

That Martha RosalineGaul Whose Birth is sought to be registered was

born at Sydney Cape Breton County on April 20, 1922

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

Baptismal

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