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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100305

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Alfred LeroyGill Sex Male

Date of Birth June 28, 1920 Place of Birth Upper KennetcookCounty of Hants

Name of Father Benson Gill MAIDEN NAME of Mother Mable Jane Manley

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

Residence of Father when child was born Upper Kennetcook Present address of Father deceased

Occupation of Father at Birth of child Labourer Place of birth of Father Upper Kennetcook

Race Name and present address of Physician in attendance at birth

Signature of Applicant Alfred Leroy Gill Address of Applicant Maitland Date January 28, 1985

Relationship of Applicant to child self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Alfred LeroyGill

Born at Upper Kennetcook in the County of Hants

That Alfred LeroyGill Whose Birth is sought to be registered was

born at Upper Kennetcook Hants County on June 28, 1920

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

Baptismal (shows birthdate in error as June 26, 1920, should read June 28, 1920) Census National Registration

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