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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000592

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth January 25, 1920 Place of Birth Garden LotsCounty of Lunenburg

Name of Father James Allen MAIDEN NAME of Mother Evelyn Reid

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

Residence of Father when child was born Garden Lots, Lunenburg Co. Present address of Father deceased

Occupation of Father at Birth of child Fisherman Place of birth of Father Garden Lots, Lunenburg Co.

Race English Name and present address of Physician in attendance at birth

Signature of Applicant Dalton Randall Address of Applicant 74 Windmill Road, Dartmouth Date 5 June 1972

Relationship of Applicant to child Husband

AFFIDAVIT

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

Born at Garden Lots in the County of Lunenburg

That Gladys EvelynAllen Whose Birth is sought to be registered was

born at Garden Lots Lunenburg County on January 25, 1920

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

Baptismal certificate

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