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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

93602559

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Horace GordanMacgillivray Sex Male

Date of Birth December 8, 1906 Place of Birth LouisburgCounty of Cape Breton

Name of Father John Allan Macgillivray MAIDEN NAME of Mother Frances Victoria Stacey

Residence of Father when child was born Louisburg Present address of Father Deceased

Occupation of Father at Birth of child Locomotive Engineer Place of birth of Father Gabarus

Race Scottish Name and present address of Physician in attendance at birth Dr. D.A. Morrison

Signature of Applicant Frances Victoria Macgillivray Address of Applicant Sydney Date 28 October 1926

Relationship of Applicant to child mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Horace GordanMacgillivray

Born at Louisburg in the County of Cape Breton

That Horace GordanMacgillivray Whose Birth is sought to be registered was

born at Louisburg Cape Breton County on December 8, 1906

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

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