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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000524

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth October 7, 1920 Place of Birth HalifaxCounty of Halifax

Name of Father Joseph Forhan MAIDEN NAME of Mother Florence Wallace

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

Residence of Father when child was born North Street, Halifax Present address of Father deceased

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

Race Irish Name and present address of Physician in attendance at birth Deceased

Signature of Applicant Barbara Stewart Address of Applicant 191 Princess Margaret Boulevard Date October 7, 1970

Relationship of Applicant to child daughter

AFFIDAVIT

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

Born at Halifax in the County of Halifax

That Gladys MariaForhan Whose Birth is sought to be registered was

born at Halifax Halifax County on October 7, 1920

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

Baptismal

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