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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

91600934

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Geraldine MayLangille Sex Female

Date of Birth September 15, 1922 Place of Birth StellartonCounty of Pictou

Name of Father Russell William Langille MAIDEN NAME of Mother Isabell Etheline King

Residence of Father when child was born Stellarton, Pictou Co., NS Present address of Father 205 Thames Street, Chatham, Ontario

Occupation of Father at Birth of child Auto Mechanic Place of birth of Father River John, Pictou Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. R. W. Langille Address of Applicant 205 Thames Street, Chatham, Ontario Date 8 February 1943

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Geraldine MayLangille

Born at Stellarton in the County of Pictou

That Geraldine MayLangille Whose Birth is sought to be registered was

born at Stellarton Pictou County on September 15, 1922

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

That I am the mother of the above named Geraldine May Langille

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