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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

92800205

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Lawrence MitchensonGibson Sex Male

Date of Birth October 17, 1922 Place of Birth SydneyCounty of Cape Breton

Name of Father Robert Gibson MAIDEN NAME of Mother Leslin Maule

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

Occupation of Father at Birth of child Steelworker Place of birth of Father St. Vincent, British West Indies

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Leslin Gibson Address of Applicant 87 Ferris Street, Sydney, Cape Breton Co., NS Date 21 April 1944

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Lawrence MitchensonGibson

Born at Sydney in the County of Cape Breton

That Lawrence MitchensonGibson Whose Birth is sought to be registered was

born at Sydney Cape Breton County on October 17, 1922

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

I am his mother and remember the date & have left a record of it. Church record is also enclosed.

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