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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000861

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Mary GladysWilkinson Sex Female

Date of Birth December 24, 1921 Place of Birth ChurchvilleCounty of Pictou

Name of Father Harry Wilkinson MAIDEN NAME of Mother Zadie Whittemore

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

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

Occupation of Father at Birth of child Farmer Place of birth of Father Moncton, New Brunswick

Race Name and present address of Physician in attendance at birth

Signature of Applicant John A. Edwards Address of Applicant 315 Balmoral Dr. Brampton, Ontario Date October 16, 1979

Relationship of Applicant to child Husband

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Mary GladysWilkinson

Born at Churchville in the County of Pictou

That Mary GladysWilkinson Whose Birth is sought to be registered was

born at Churchville Pictou County on December 24, 1921

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

Certificate of Baptism

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