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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

91700923

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of GladysPierce Sex Female

Date of Birth February 26, 1922 Place of Birth Lower Sandy PointCounty of Shelburne

Name of Father Elwell Pierce MAIDEN NAME of Mother Elsie McLeod

Residence of Father when child was born Lower Sandy Point, Shelburne Co., NS Present address of Father Lower Sandy Point, Shelburne Co., NS

Occupation of Father at Birth of child Fisherman Place of birth of Father Lower Sandy Point, Shelburne Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Eliza Buchanan Address of Applicant Lower Sandy Point, Shelburne Co., NS Date 25 June 1943

Relationship of Applicant to child No relation

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of GladysPierce

Born at Lower Sandy Point in the County of Shelburne

That GladysPierce Whose Birth is sought to be registered was

born at Lower Sandy Point Shelburne County on February 26, 1922

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

I acted as midwife at the birth of the said Gladys Pierce being present in her home at the time

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