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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000769

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Madeline FlorenceDavidson Sex Female

Date of Birth July 3, 1924 Place of Birth WolfvilleCounty of Kings

Name of Father William Franklin Davidson MAIDEN NAME of Mother Hazel Mae Spencer

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

Residence of Father when child was born North Grand pre, Kings Co., NS Present address of Father Deceased

Occupation of Father at Birth of child Farmer Place of birth of Father North Grand pre, Kings Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Madeline F. Glossburg Address of Applicant 1306 Montpellier Street, Laurent, Quebec Date November 1983

Relationship of Applicant to child Applicant is child

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Madeline FlorenceDavidson

Born at Wolfville in the County of Kings

That Madeline FlorenceDavidson Whose Birth is sought to be registered was

born at Wolfville Kings County on July 3, 1924

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

My mother Hazel Mae Spencer gave birth to me on July 3, 1924 at Westwood Hospital, Wolfville, NS, Now known as Eastern Kings Memorial Hospital. It is not known if I was registered under surname of Spencer or Davidson

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