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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000147

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Annie MariaGallant Sex Female

Date of Birth May 23, 1923 Place of Birth Glace BayCounty of Cape Breton

Name of Father James Gallant MAIDEN NAME of Mother Nellie Riley

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

Residence of Father when child was born Little Lorraine Cape Breton Co. Ns Present address of Father Little Lorraine, Cape Breton Co., NS

Occupation of Father at Birth of child Fisherman Place of birth of Father Little Lorraine, Cape Breton Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant William Gallant Address of Applicant Main-a-Dieu, Cape Breton Co., NS Date 4 September 1952

Relationship of Applicant to child Uncle

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Annie MariaGallant

Born at Glace Bay in the County of Cape Breton

That Annie MariaGallant Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on May 23, 1923

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

That I am her uncle and I know the above date to be correct, as I remember the time of her birth.

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