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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

91700332

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Gwendolyn LeonaTynes Sex Female

Date of Birth December 25, 1922 Place of Birth HalifaxCounty of Halifax

Name of Father Harold Tynes MAIDEN NAME of Mother Lena Bundy

Residence of Father when child was born Halifax, NS Present address of Father Deceased

Occupation of Father at Birth of child Labourer Place of birth of Father Dartmouth, NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Lena Grosse Address of Applicant 164 Creighton Street, Halifax, NS Date 21 July 1942

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Gwendolyn LeonaTynes

Born at Halifax in the County of Halifax

That Gwendolyn LeonaTynes Whose Birth is sought to be registered was

born at Halifax Halifax County on December 25, 1922

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

As I am the mother of one Gwendolyn Leona Tynes.

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