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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

66700169

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Daniel JosephGillis Sex Male

Date of Birth December 24, 1919 Place of Birth New WaterfordCounty of Cape Breton

Name of Father Neil Gillis MAIDEN NAME of Mother Mary McKinnon

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

Residence of Father when child was born New Waterford Present address of Father

Occupation of Father at Birth of child Carpenter Place of birth of Father Nova Scotia

Race Name and present address of Physician in attendance at birth Dr. A.W. Miller

Signature of Applicant Neil Gillis Address of Applicant New Waterford Date 24 December 1919

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Daniel JosephGillis

Born at New Waterford in the County of Cape Breton

That Daniel JosephGillis Whose Birth is sought to be registered was

born at New Waterford Cape Breton County on December 24, 1919

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

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