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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000055

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Lily CatherineHillgrove Sex Female

Date of Birth January 17, 1922 Place of Birth Glace BayCounty of Cape Breton

Name of Father Charles Hillgrove MAIDEN NAME of Mother Catherine Adelaide McDonald

Residence of Father when child was born Glace Bay, Cape Breton Present address of Father Glace Bay, Cape Breton

Occupation of Father at Birth of child Mechanic Place of birth of Father Low Point, Inverness

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. C. Hillgrove Address of Applicant 47 South Street, Glace Bay, Cape Breton Date 18 March 1948

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Lily CatherineHillgrove

Born at Glace Bay in the County of Cape Breton

That Lily CatherineHillgrove Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on January 17, 1922

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

That I am her mother

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