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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000296

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Gloria BlossomDoyle Sex Female

Date of Birth July 1, 1921 Place of Birth HalifaxCounty of Halifax

Name of Father Austin James  Doyle MAIDEN NAME of Mother Vivian Loretta Ernst

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

Residence of Father when child was born 16 Bayers Rd. Halifax Present address of Father 57 Windsor St. Halifax

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

Race White Name and present address of Physician in attendance at birth Dr. Corston

Signature of Applicant Mrs. Gloria Bowser Address of Applicant 57 Windsor St. Halifax Date July 5, 1961

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Gloria BlossomDoyle

Born at Halifax in the County of Halifax

That Gloria BlossomDoyle Whose Birth is sought to be registered was

born at Halifax Halifax County on July 1, 1921

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

Statement of Dr. J.R. Corston School Record

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