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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100012

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of James DouglasHill Sex Male

Date of Birth February 10, 1922 Place of Birth Point EdwardCounty of Cape Breton

Name of Father Percy Wellington Hill MAIDEN NAME of Mother  BeaTON

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

Residence of Father when child was born Point Edward, Cape Breton Present address of Father Deceased

Occupation of Father at Birth of child Labourer at Quarry, Rudderham Road Place of birth of Father Point Edward, Cape Breton

Race Name and present address of Physician in attendance at birth

Signature of Applicant James D. Hill Address of Applicant Point Edward, Cape Breton Date May 1985

Relationship of Applicant to child Same Person

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of James DouglasHill

Born at Point Edward in the County of Cape Breton

That James DouglasHill Whose Birth is sought to be registered was

born at Point Edward Cape Breton County on February 10, 1922

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

Certificate of baptism enclosed

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