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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000870

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Olive CatherineGallant Sex Female

Date of Birth April 3, 1922 Place of Birth Reserve MinesCounty of Cape Breton

Name of Father Alexander Gallant MAIDEN NAME of Mother Annie Mae McNeil

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

Residence of Father when child was born Reserve Mines, Cape Breton Present address of Father 60 Reserve Rows (Deceased)

Occupation of Father at Birth of child Miner Place of birth of Father Gardiner Mines, Cape Breton

Race Name and present address of Physician in attendance at birth

Signature of Applicant Olive C. (Gallant) Somerton Address of Applicant 130 Seventh Street, Glace Bay, Cape Breton Date 26 November 1981

Relationship of Applicant to child Applicant and child are same person

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Olive CatherineGallant

Born at Reserve Mines in the County of Cape Breton

That Olive CatherineGallant Whose Birth is sought to be registered was

born at Reserve Mines Cape Breton County on April 3, 1922

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

Baptism certificate (forwarded to your office under separate cover)

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