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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000588

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Dorothy ConstanceDillard Sex

Date of Birth January 8, 1920 Place of Birth HalifaxCounty of Halifax

Name of Father Dennis Robert BIllard MAIDEN NAME of Mother Mary Elizabeth Harris

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

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

Occupation of Father at Birth of child Carpenter Place of birth of Father Greenland

Race Canadian Name and present address of Physician in attendance at birth Midwife

Signature of Applicant Dorothy Constance (Billard) Address of Applicant 1090 Exmouth (Sarnia, Ontario) Date February 9, 1972

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Dorothy ConstanceDillard

Born at Halifax in the County of Halifax

That Dorothy ConstanceDillard Whose Birth is sought to be registered was

born at Halifax Halifax County on January 8, 1920

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

That I was home at the time of birth nd we grew up together. Affidavit made.by Blanche T. Morphew (Billard).

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