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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000792

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Rita GabrielWalsh Sex Female

Date of Birth March 18, 1923 Place of Birth Glace BayCounty of Cape Breton

Name of Father William Walsh MAIDEN NAME of Mother Eva May Mombourquett

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

Residence of Father when child was born Glace Bay Cape Breton Co. Ns Present address of Father Deceased

Occupation of Father at Birth of child Coal Miner Place of birth of Father North River, Newfoundland

Race Name and present address of Physician in attendance at birth

Signature of Applicant Rita Gabriel Wright Address of Applicant 920 Oullette Avenue, Windsor, Ontario Date August 1980

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Rita GabrielWalsh

Born at Glace Bay in the County of Cape Breton

That Rita GabrielWalsh Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on March 18, 1923

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

The church records of St. Johns Catholic Church, Glace Bay, Cape Breton Co., NS a copy of which I am enclosing.

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