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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100148

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Elsie MaeGilkie Sex

Date of Birth March 9, 1922 Place of Birth SambroCounty of Halifax

Name of Father Charles Henry Gilkie MAIDEN NAME of Mother Emma Melinda Gray

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

Residence of Father when child was born Sambro, Halifax Present address of Father Sambro, Halifax

Occupation of Father at Birth of child Fisherman Place of birth of Father Sambro, Halifax

Race Name and present address of Physician in attendance at birth

Signature of Applicant Elsie Mae Goodman Address of Applicant Ottawa, Ontario Date 31 May 1976

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Elsie MaeGilkie

Born at Sambro in the County of Halifax

That Elsie MaeGilkie Whose Birth is sought to be registered was

born at Sambro Halifax County on March 9, 1922

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

Certificate of baptism and the fact that I have scrutinized class "A" evidence. Personal knowledge of circumstance through marriage of 34 years.

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