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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

64500180

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Gladice ElizabethMullins Sex Female

Date of Birth December 12, 1919 Place of Birth AmherstCounty of Cumberland

Name of Father George Mullins MAIDEN NAME of Mother Elizabeth Lancaster

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

Residence of Father when child was born Amherst Present address of Father 74 Academy St.

Occupation of Father at Birth of child Fireman Place of birth of Father Bristol, England

Race Name and present address of Physician in attendance at birth Dr. B.E. Goodwin

Signature of Applicant George Mullins Address of Applicant Amherst Date 09 January 1920

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Gladice ElizabethMullins

Born at Amherst in the County of Cumberland

That Gladice ElizabethMullins Whose Birth is sought to be registered was

born at Amherst Cumberland County on December 12, 1919

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

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