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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

91900667

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Freda MatildaGallant Sex Female

Date of Birth December 16, 1921 Place of Birth ReserveCounty of Cape Breton

Name of Father George Gallant MAIDEN NAME of Mother Margaret M. McDonald

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

Residence of Father when child was born Reserve, Cape Breton Co., NS Present address of Father Glace Bay, Cape Breton Co., NS

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

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. George Gallant Address of Applicant 175 South Street, Glace Bay, Cape Breton Co., NS Date 25 August 1945

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Freda MatildaGallant

Born at Reserve in the County of Cape Breton

That Freda MatildaGallant Whose Birth is sought to be registered was

born at Reserve Cape Breton County on December 16, 1921

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

I am her mother

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