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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000186

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Lena MabelGillis Sex Female

Date of Birth September 8, 1920 Place of Birth SydneyCounty of Cape Breton

Name of Father Norman H. Gillis MAIDEN NAME of Mother Joanna MacRae

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

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

Occupation of Father at Birth of child Merchant Place of birth of Father Baddeck

Race Scottish Name and present address of Physician in attendance at birth Dr. William R. MacRae - deceased

Signature of Applicant Joanna McRae Gillis Address of Applicant 1365 Victoria Rd. Sydney Date January 3, 1953

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Lena MabelGillis

Born at Sydney in the County of Cape Breton

That Lena MabelGillis Whose Birth is sought to be registered was

born at Sydney Cape Breton County on September 8, 1920

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

Church Record

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