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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000262

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth April 11, 1922 Place of Birth Terrence BayCounty of Halifax

Name of Father Harold David Harrie MAIDEN NAME of Mother Harriette Thresa Countaway

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

Residence of Father when child was born Terence Bay, Halifax Present address of Father Terence Bay, Halifax

Occupation of Father at Birth of child Fisherman Place of birth of Father Terence Bay, Halifax

Race Name and present address of Physician in attendance at birth

Signature of Applicant Gladys Amelda MacDonald Address of Applicant Terence Bay, Halifax Date 23 January 1961

Relationship of Applicant to child self

AFFIDAVIT

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

Born at Terrence Bay in the County of Halifax

That Gladys AmeldaHarrie Whose Birth is sought to be registered was

born at Terrence Bay Halifax County on April 11, 1922

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

Refer to baptism certificate

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