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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

92000721

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Marzorie EvaGibson Sex Female

Date of Birth April 15, 1922 Place of Birth YarmouthCounty of Yarmouth

Name of Father John Gibson MAIDEN NAME of Mother Eva Higby

Residence of Father when child was born Yarmouth, NS Present address of Father Central Chebogue, Yarmouth Co., NS

Occupation of Father at Birth of child Truckman Place of birth of Father Yarmouth, NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant John Gibson Address of Applicant Central Chebogue, Yarmouth Co., NS Date 24 July 1941

Relationship of Applicant to child Father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Marzorie EvaGibson

Born at Yarmouth in the County of Yarmouth

That Marzorie EvaGibson Whose Birth is sought to be registered was

born at Yarmouth Yarmouth County on April 15, 1922

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

I am the father of Marzorie Eva Gibson and was at home at the time she was born and do well remember the date of her birth.

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