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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000304

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Amos WamboltHilchey Sex Male

Date of Birth August 14, 1920 Place of Birth DartmouthCounty of Halifax

Name of Father clarince Emery Hilchey MAIDEN NAME of Mother Charlotte Wambolt

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

Residence of Father when child was born Dartmouth, Halifax Co. Present address of Father deceased

Occupation of Father at Birth of child Electrician Place of birth of Father Tangier, Halifax Co.

Race Irish Name and present address of Physician in attendance at birth Deceased

Signature of Applicant A. W. Hilchey Address of Applicant 74 Queen Street, Dartmouth Date 17 March 1959

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Amos WamboltHilchey

Born at Dartmouth in the County of Halifax

That Amos WamboltHilchey Whose Birth is sought to be registered was

born at Dartmouth Halifax County on August 14, 1920

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

Baptism record. Bible record. Information sent from parents while living

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