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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000900

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of AlexanderGillis Sex Male

Date of Birth October 7, 1921 Place of Birth InvernessCounty of Inverness

Name of Father John D. Gillis MAIDEN NAME of Mother Mary MacDonald

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

Residence of Father when child was born Glenville Present address of Father deceased

Occupation of Father at Birth of child Farmer Place of birth of Father Inverness County

Race Name and present address of Physician in attendance at birth

Signature of Applicant Ruby Gillis Address of Applicant 7132 Ernest Ave. Halifax Date September 19, 1980

Relationship of Applicant to child sister-in-law

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of AlexanderGillis

Born at Inverness in the County of Inverness

That AlexanderGillis Whose Birth is sought to be registered was

born at Inverness Inverness County on October 7, 1921

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

Certificate of Baptism

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