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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000907

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Catherine ElizabethGordon Sex Female

Date of Birth February 28, 1923 Place of Birth YarmouthCounty of Yarmouth

Name of Father William Gordon MAIDEN NAME of Mother Marie Leonissa Amirault

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

Residence of Father when child was born Yarmouth Ns Present address of Father Deceased

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

Race Name and present address of Physician in attendance at birth

Signature of Applicant Catherene E. Gordon Address of Applicant 78 King Street, Yarmouth, NS Date 26 September 1984

Relationship of Applicant to child Applicant

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Catherine ElizabethGordon

Born at Yarmouth in the County of Yarmouth

That Catherine ElizabethGordon Whose Birth is sought to be registered was

born at Yarmouth Yarmouth County on February 28, 1923

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

Certificate of birth & baptism from St. Ambrose Cathedral, Yarmouth, NS was presented to me as proof of birth.

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