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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100052

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Michael AngusGillis Sex Male

Date of Birth April 22, 1921 Place of Birth SydneyCounty of Cape Breton

Name of Father Ronald Daniel Gillis MAIDEN NAME of Mother Mary Ann Gillis

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

Residence of Father when child was born Whitney Pier Present address of Father deceased

Occupation of Father at Birth of child Coal Trimmer, Dominion Coal Place of birth of Father Grand Mira

Race Name and present address of Physician in attendance at birth

Signature of Applicant Michael Angus Gillis Address of Applicant 44 Rockway, Whitney Pier Date May 10, 1984

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Michael AngusGillis

Born at Sydney in the County of Cape Breton

That Michael AngusGillis Whose Birth is sought to be registered was

born at Sydney Cape Breton County on April 22, 1921

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

I have known the applicant since birth, his parents before him, and visited his family on many, many occasions over the years. He was born at home at Whitney Pier, Sydney

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