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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000274

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Bernard HughMcGillivray Sex Male

Date of Birth September 15, 1922 Place of Birth Victoria MinesCounty of Cape Breton

Name of Father Thomas D. McGillivary MAIDEN NAME of Mother Marion Rosetta Young

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

Residence of Father when child was born Victoria Mines, Cape Breton Present address of Father New Victoria, Cape Breton

Occupation of Father at Birth of child Miner, No. 17 Colliery, Victoria Mines Place of birth of Father Victoria Mines, Cape Breton

Race Name and present address of Physician in attendance at birth

Signature of Applicant Waldon McGillivary Address of Applicant New Victoria, Cape Breton Date 24 November 1961

Relationship of Applicant to child Cousin

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Bernard HughMcGillivray

Born at Victoria Mines in the County of Cape Breton

That Bernard HughMcGillivray Whose Birth is sought to be registered was

born at Victoria Mines Cape Breton County on September 15, 1922

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

Baptismal certificate. I was his godfather.

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