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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000257

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth April 21, 1924 Place of Birth CambridgeCounty of Kings

Name of Father Owen William Peterson MAIDEN NAME of Mother Edna Sarah Arenburgh

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

Residence of Father when child was born Cambridge, Kings Co., NS Present address of Father Cambridge, Kings Co., NS

Occupation of Father at Birth of child Farmer Place of birth of Father Chipman Brook, Kings Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Gladys Nauss Address of Applicant 63 Albert Street, Halifax, NS Date 7 January 1963

Relationship of Applicant to child Self

AFFIDAVIT

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

Born at Cambridge in the County of Kings

That Gladys JosephinePeterson Whose Birth is sought to be registered was

born at Cambridge Kings County on April 21, 1924

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

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