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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100040

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Phyllis EmmalyneHiltz Sex Female

Date of Birth June 1, 1920 Place of Birth OaklandCounty of Lunenburg

Name of Father Harry Bonden Seymour Hiltz MAIDEN NAME of Mother Eva Mary Eisenhauer

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

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

Occupation of Father at Birth of child Sales clerk Place of birth of Father Halifax

Race Name and present address of Physician in attendance at birth

Signature of Applicant E.B.N. Cochran Address of Applicant Mahone Bay Date December 27, 1979

Relationship of Applicant to child

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Phyllis EmmalyneHiltz

Born at Oakland in the County of Lunenburg

That Phyllis EmmalyneHiltz Whose Birth is sought to be registered was

born at Oakland Lunenburg County on June 1, 1920

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

Baptism Certificate Extract from Marriage

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