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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

41200005

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Floyd GillisMacNeil Sex Male

Date of Birth October 1, 1919 Place of Birth HalifaxCounty of Halifax

Name of Father Angus MacNeil MAIDEN NAME of Mother Minnie Gillis

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

Residence of Father when child was born Dartmouth Present address of Father Nova Scotia Hospital

Occupation of Father at Birth of child Mech' Super' Place of birth of Father Grand Narrows

Race Name and present address of Physician in attendance at birth G.A. MacIntosh

Signature of Applicant Angus MacNeil Address of Applicant Dartmouth, NS Date 21 October 1919

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Floyd GillisMacNeil

Born at Halifax in the County of Halifax

That Floyd GillisMacNeil Whose Birth is sought to be registered was

born at Halifax Halifax County on October 1, 1919

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

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