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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000834

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth January 12, 1922 Place of Birth Terence BayCounty of Halifax

Name of Father Trenamen Slaunwhite MAIDEN NAME of Mother Teresa Slaunwhite

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 Deceased

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

Race Name and present address of Physician in attendance at birth

Signature of Applicant Gladys V. Blackburn Address of Applicant Terence Bay, Halifax Date 5 March 1981

Relationship of Applicant to child Self

AFFIDAVIT

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

Born at Terence Bay in the County of Halifax

That Gladys ViolaSlaunwhite Whose Birth is sought to be registered was

born at Terence Bay Halifax County on January 12, 1922

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

Baptismal

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