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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000323

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth September 9, 1922 Place of Birth LockhartvilleCounty of Kings

Name of Father William Henry Thompson MAIDEN NAME of Mother Edith Atwell

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

Residence of Father when child was born Lockhartville, Kings Present address of Father Deceased

Occupation of Father at Birth of child Carpenter Place of birth of Father Gaspereau, Kings

Race Name and present address of Physician in attendance at birth

Signature of Applicant William E. Thompson Address of Applicant Lockhartville, Kings Date

Relationship of Applicant to child Brother

AFFIDAVIT

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

Born at Lockhartville in the County of Kings

That Mary GladysThompson Whose Birth is sought to be registered was

born at Lockhartville Kings County on September 9, 1922

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

I am her brother. Bible record.

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