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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

91900143

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of EttieGuam Sex Female

Date of Birth April 26, 1923 Place of Birth SydneyCounty of Cape Breton

Name of Father Morris Gaum MAIDEN NAME of Mother Bessie Moroff

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

Residence of Father when child was born Sydney, Cape Breton Co., NS Present address of Father Dead

Occupation of Father at Birth of child Tailor Place of birth of Father Poland

Race Name and present address of Physician in attendance at birth

Signature of Applicant Bessie Fishman Address of Applicant 74 Clinton Street, Toronto, Ontario Date 14 April 1945

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of EttieGuam

Born at Sydney in the County of Cape Breton

That EttieGuam Whose Birth is sought to be registered was

born at Sydney Cape Breton County on April 26, 1923

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

I am the mother of the said Ettie Gaum

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