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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000758

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth October 22, 1920 Place of Birth HalifaxCounty of Halifax

Name of Father William Henry Polhill MAIDEN NAME of Mother Julia Everett

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

Residence of Father when child was born Halifax Present address of Father deceased

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

Race Name and present address of Physician in attendance at birth

Signature of Applicant J.W. Taylor Address of Applicant North Bay, Ontario Date February 2, 1976

Relationship of Applicant to child son

AFFIDAVIT

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

Born at Halifax in the County of Halifax

That Gladys GeorginaPolhill Whose Birth is sought to be registered was

born at Halifax Halifax County on October 22, 1920

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

Baptismal & Marriage

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