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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100060

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Mary Cecilia Gloade Sex

Date of Birth January 22, 1920 Place of Birth ShubenacadieCounty of Hants

Name of Father Peter Gloade MAIDEN NAME of Mother Annie Bernard

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

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

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

Race Name and present address of Physician in attendance at birth

Signature of Applicant Cecilia Singer Address of Applicant River Bourgeois Date May 5, 1980

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Mary Cecilia Gloade

Born at Shubenacadie in the County of Hants

That Mary Cecilia Gloade Whose Birth is sought to be registered was

born at Shubenacadie Hants County on January 22, 1920

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

Baptismal, Marriage Extract

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