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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000736

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth September 28, 1923 Place of Birth Lake RamsayCounty of Lunenburg

Name of Father Emerson Keddy MAIDEN NAME of Mother Mary Turner

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

Residence of Father when child was born Lake Ramsay Lunenburg Co. Ns Present address of Father Deceased

Occupation of Father at Birth of child Farmer Place of birth of Father Lake Ramsay, Lunenburg Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Angela Burns Address of Applicant 1977 Vernon Street, Halifax, NS Date 28 May 1979

Relationship of Applicant to child Neice

AFFIDAVIT

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

Born at Lake Ramsay in the County of Lunenburg

That Gladys BeatriceKeddy Whose Birth is sought to be registered was

born at Lake Ramsay Lunenburg County on September 28, 1923

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

Baptism

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