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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000335

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth February 11, 1921 Place of Birth HalifaxCounty of Halifax

Name of Father John E. Andrews MAIDEN NAME of Mother Charlotte Hazel Langille

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

Residence of Father when child was born Halifax Present address of Father 1971 Rosebank Ave. Halifax

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

Race White Name and present address of Physician in attendance at birth Charles Norton

Signature of Applicant Charlotte Hazel Andrews Address of Applicant 1971 Rosebank Ave. Halifax Date July 16, 1964

Relationship of Applicant to child Mother

AFFIDAVIT

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

Born at Halifax in the County of Halifax

That Gladys MurielAndrews Whose Birth is sought to be registered was

born at Halifax Halifax County on February 11, 1921

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

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