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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000599

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth July 15, 1923 Place of Birth New EdinburghCounty of Digby

Name of Father Arthur T. McCormick MAIDEN NAME of Mother Mary Elizabeth McCormick

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

Residence of Father when child was born New Edinburgh Digby Co. Ns Present address of Father Deceased

Occupation of Father at Birth of child Labourer Place of birth of Father New Edinburgh, Digby Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Gladys M. Charles Address of Applicant RR #1, Weymouth, Digby Co., NS Date 6 April 1977

Relationship of Applicant to child Self

AFFIDAVIT

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

Born at New Edinburgh in the County of Digby

That Gladys MariaMcCormick Whose Birth is sought to be registered was

born at New Edinburgh Digby County on July 15, 1923

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

Acquainted with the family for a long time and the present applicant was my pupil in 1933 in the New Edinburgh School, New Edinburgh, Digby Co., NS.

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