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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

92000722

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Hugh ClementGillam Sex Male

Date of Birth August 22, 1920 Place of Birth North SydneyCounty of Cape Breton

Name of Father Michael Gillam MAIDEN NAME of Mother Mary Ings

Residence of Father when child was born North Sydney Present address of Father deceased

Occupation of Father at Birth of child Master Mariner Place of birth of Father Newfoundland

Race English Name and present address of Physician in attendance at birth Dr. J.W. MacLean (deceased)

Signature of Applicant Mary Gillam Address of Applicant North Sydney Date June 28, 1941

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Hugh ClementGillam

Born at North Sydney in the County of Cape Breton

That Hugh ClementGillam Whose Birth is sought to be registered was

born at North Sydney Cape Breton County on August 22, 1920

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

Enclosed certificate of Baptism

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