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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000919

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth April 6, 1920 Place of Birth North SydneyCounty of Cape Breton

Name of Father   MAIDEN NAME of Mother Sarah Connolly

Were the Parents married at the time of the Birth? No

Residence of Father when child was born Present address of Father

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

Race Name and present address of Physician in attendance at birth

Signature of Applicant Gladys Gillis Address of Applicant Dartmouth Date June 30, 1978

Relationship of Applicant to child niece

AFFIDAVIT

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

Born at North Sydney in the County of Cape Breton

That Gladys MayConnolly Whose Birth is sought to be registered was

born at North Sydney Cape Breton County on April 6, 1920

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

Baptrismal

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