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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000922

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Bertha MarieGilbert Sex Female

Date of Birth August 29, 1922 Place of Birth DeBaie CoveCounty of Halifax

Name of Father John william Gilbert MAIDEN NAME of Mother Edith Margaret DeBaie

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

Residence of Father when child was born DeBaie Cove, Halifax Present address of Father Deceased

Occupation of Father at Birth of child Fisherman Place of birth of Father DeBaie Cove, Halifax

Race Name and present address of Physician in attendance at birth

Signature of Applicant Bertha M. gilbert Address of Applicant 1 Alderney Drive, Apt. 315, Dartmouth Date 7 January 1983

Relationship of Applicant to child one and the same

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Bertha MarieGilbert

Born at DeBaie Cove in the County of Halifax

That Bertha MarieGilbert Whose Birth is sought to be registered was

born at DeBaie Cove Halifax County on August 29, 1922

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

a. Record from Hutchinson School, Upper Musquodoboit for the year 1936 b. 1931 census c. marriage record of 1939

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