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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100103

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of WilliamMacGillivray Sex Male

Date of Birth July 12, 1920 Place of Birth AntigonishCounty of Antigonish

Name of Father Angs A. MacGillivray MAIDEN NAME of Mother Catherine MacLean

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

Residence of Father when child was born William's Point, Antigonish Co. Present address of Father deceased

Occupation of Father at Birth of child Farmer Place of birth of Father Antigonish Co.

Race Name and present address of Physician in attendance at birth

Signature of Applicant William MacGillivray Address of Applicant 61 Fatima Street, Antigonish Date 8 January 1981

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of WilliamMacGillivray

Born at Antigonish in the County of Antigonish

That WilliamMacGillivray Whose Birth is sought to be registered was

born at Antigonish Antigonish County on July 12, 1920

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

Certificate of Baptism as enclosed

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