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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000707

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of George CletusLandry Sex Male

Date of Birth November 11, 1922 Place of Birth SydneyCounty of Cape Breton

Name of Father George William Landry MAIDEN NAME of Mother Delphine Brean

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 Fisherman Place of birth of Father River Bourgeois, Richmond

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Delphine Landry Address of Applicant 1123 May Avenue, Windsor, Hants Date 8 October 1978

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of George CletusLandry

Born at Sydney in the County of Cape Breton

That George CletusLandry Whose Birth is sought to be registered was

born at Sydney Cape Breton County on November 11, 1922

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

I am the natural mother of George Cletus Landry. I have read over the certificate of baptism attached hereto and believe its contents to be true.

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