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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000611

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth March 4, 1924 Place of Birth AntigonishCounty of Antigonish

Name of Father Joseph DeCoste MAIDEN NAME of Mother Sarah Myette

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

Residence of Father when child was born East Tracadie, Antigonish Co., NS Present address of Father Deceased

Occupation of Father at Birth of child Farmer - Fisherman Place of birth of Father East Tracadie, Antigonish Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Gladys J. DeCoste Address of Applicant RR #1, Monastery, Antigonish Co., NS Date 6 February 1979

Relationship of Applicant to child Child is applicant

AFFIDAVIT

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

Born at Antigonish in the County of Antigonish

That Gladys JaneDeCoste Whose Birth is sought to be registered was

born at Antigonish Antigonish County on March 4, 1924

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

1. Enclosed Baptismal certificate 2. Family knowledge

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