Male Birth Registration: Year: 1921 number: 99100189
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PROVINCE OF NOVA SCOTIA
DELAYED REGISTRATION OF BIRTH
99100189
TO THE REGISTRAR GENERAL OF NOVA SCOTIA
I hereby make application for the Registration of Birth of Stanley MedfordHiltz Sex Male
Date of Birth September 29, 1921 Place of Birth Forties SettlementCounty of Lunenburg
Name of Father Roderick Hiltz MAIDEN NAME of Mother Ethel Bezanson
Were the Parents married at the time of the Birth? Yes
Residence of Father when child was born Forties Settlement Present address of Father deceased
Occupation of Father at Birth of child Farmer Place of birth of Father Forties
Race Name and present address of Physician in attendance at birth
Signature of Applicant Stanley M. Hiltz Address of Applicant RR1 New Ross Date October 20, 1986
Relationship of Applicant to child Self
AFFIDAVIT
IN THE MATTER of the application for the Registration of the Birth of Stanley MedfordHiltz
Born at Forties Settlement in the County of Lunenburg
That Stanley MedfordHiltz Whose Birth is sought to be registered was
born at Forties Settlement Lunenburg County on September 29, 1921
My knowledge of the fact and date of such Birth is based on the following Circumstances:
Baptism Records Marriage Extract
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=417581
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