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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

41200442

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth December 21, 1919 Place of Birth HalifaxCounty of Halifax

Name of Father Felix Smiley MAIDEN NAME of Mother Mary Smith

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

Residence of Father when child was born Halifax Present address of Father 39B St. John Ave.

Occupation of Father at Birth of child Furniture clerk Place of birth of Father Magdalene Islands

Race Name and present address of Physician in attendance at birth Mrs. N. Kelly, midwife

Signature of Applicant Felix Smiley Address of Applicant 39B St. John Ave. Date 14 January 1920

Relationship of Applicant to child father

AFFIDAVIT

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

Born at Halifax in the County of Halifax

That Gladys MarieSmiley Whose Birth is sought to be registered was

born at Halifax Halifax County on December 21, 1919

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

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