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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000830

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth September 21, 1924 Place of Birth SydneyCounty of Cape Breton

Name of Father unknown  MAIDEN NAME of Mother Alma Burton

Were the Parents married at the time of the Birth? No

Residence of Father when child was born Present address of Father

Occupation of Father at Birth of child Place of birth of Father

Race Name and present address of Physician in attendance at birth

Signature of Applicant Leah E. Carson Address of Applicant 440 Atlantic St. Sydney Date 19 September 1985

Relationship of Applicant to child Niece

AFFIDAVIT

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

Born at Sydney in the County of Cape Breton

That Gertrude ElinorBurton Whose Birth is sought to be registered was

born at Sydney Cape Breton County on September 21, 1924

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

personal knowledge - I remember the birth

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