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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100288

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Gerald HarrySillers Sex Male

Date of Birth May 22, 1920 Place of Birth River JohnCounty of Pictou

Name of Father Gordon  Sillers MAIDEN NAME of Mother Florence Langille

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

Residence of Father when child was born River John Present address of Father deceased

Occupation of Father at Birth of child Farmer Place of birth of Father River John

Race Name and present address of Physician in attendance at birth Dr. D.A. Murray

Signature of Applicant Gerald H. Sillers Address of Applicant River John Date August 14, 1984

Relationship of Applicant to child self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Gerald HarrySillers

Born at River John in the County of Pictou

That Gerald HarrySillers Whose Birth is sought to be registered was

born at River John Pictou County on May 22, 1920

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

The late Dr. D.A. Murray's book of records being held by his daughter Mrs. J. Earle Langille

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