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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

90600644

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Gladys MaryHollis Sex Female

Date of Birth January 31, 1920 Place of Birth Port HoweCounty of Cumberland

Name of Father Frederick Almer Hollis MAIDEN NAME of Mother Gladys Joy Tingley

Residence of Father when child was born Port Howe, Cumberland Co. Present address of Father deceased

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

Race English Name and present address of Physician in attendance at birth Dr. D. MacIntosh, Pugwash, Cumberland Co.

Signature of Applicant Mrs. Hattie Hollis Address of Applicant Port Howe, Cumberland Co. Date 30 May 1939

Relationship of Applicant to child Stepmother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Gladys MaryHollis

Born at Port Howe in the County of Cumberland

That Gladys MaryHollis Whose Birth is sought to be registered was

born at Port Howe Cumberland County on January 31, 1920

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

That I am only sister of Gladys Mary Hollis's Father and that I was at the home both before and after the birth and cared for her when a baby for several months.

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