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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

66700503

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Kenneth ReginaldKilloway Sex Male

Date of Birth October 4, 1919 Place of Birth Glace BayCounty of Cape Breton

Name of Father Gilbert Killoway MAIDEN NAME of Mother Emily Kennedy

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

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

Occupation of Father at Birth of child Miner Place of birth of Father Carbonear, Nfld

Race Name and present address of Physician in attendance at birth F.G. MacAskill

Signature of Applicant Gilbert Killoway Address of Applicant New Aberdeen Date 18 October 1919

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Kenneth ReginaldKilloway

Born at Glace Bay in the County of Cape Breton

That Kenneth ReginaldKilloway Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on October 4, 1919

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

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