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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000504

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Gertrude ElzinaColp Sex Female

Date of Birth April 8, 1924 Place of Birth ColptonCounty of Lunenburg

Name of Father Charles Andrew Colp MAIDEN NAME of Mother Gladys Viola Heim

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

Residence of Father when child was born Colpton, Lunenburg Co., NS Present address of Father Deceased

Occupation of Father at Birth of child Farmer Place of birth of Father Pleasant River, Queens Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Harris L. Colp Address of Applicant Colpton, Lunenburg Co., NS Date 2 July 1976

Relationship of Applicant to child Brother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Gertrude ElzinaColp

Born at Colpton in the County of Lunenburg

That Gertrude ElzinaColp Whose Birth is sought to be registered was

born at Colpton Lunenburg County on April 8, 1924

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

By being a brother of child and by attached documents

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