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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000200

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth December 28, 1920 Place of Birth HalifaxCounty of Halifax

Name of Father Frank Hewitt Ewing MAIDEN NAME of Mother Gladys Louisa Shelburne

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

Residence of Father when child was born 87 Hollis St. Halifax Present address of Father Halifax

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

Race Scottish Name and present address of Physician in attendance at birth Dr. Grace Rice

Signature of Applicant Gladys Louisa Ewing Address of Applicant 836 Barrington St. Halifax Date January 17, 1920

Relationship of Applicant to child Mother

AFFIDAVIT

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

Born at Halifax in the County of Halifax

That Gladys MaudeEwing Whose Birth is sought to be registered was

born at Halifax Halifax County on December 28, 1920

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

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