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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

66700594

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Lillian AudreyWalls Sex Female

Date of Birth October 3, 1919 Place of Birth DominionCounty of Cape Breton

Name of Father Duane Walls MAIDEN NAME of Mother Lillian C. Ley

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

Residence of Father when child was born Dominion No. 6 Present address of Father

Occupation of Father at Birth of child Painter Place of birth of Father Indiana, USA

Race Name and present address of Physician in attendance at birth Dr. J.A. Ferguson

Signature of Applicant Duane Walls Address of Applicant Dominion No. 6 Date 06 November 1919

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Lillian AudreyWalls

Born at Dominion in the County of Cape Breton

That Lillian AudreyWalls Whose Birth is sought to be registered was

born at Dominion Cape Breton County on October 3, 1919

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

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