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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

91600919

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Francis Emmett LeRoyKillin Sex Male

Date of Birth April 13, 1922 Place of Birth SydneyCounty of Cape Breton

Name of Father James Emmett Killin MAIDEN NAME of Mother Mary Ann Macdonald

Residence of Father when child was born Sydney, Cape Breton Co., NS Present address of Father Halifax, NS

Occupation of Father at Birth of child Salesman Place of birth of Father Londonderry, Colchester Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. J. E. Killin Address of Applicant 99 Henry Street, Halifax, NS Date 11 January 1943

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Francis Emmett LeRoyKillin

Born at Sydney in the County of Cape Breton

That Francis Emmett LeRoyKillin Whose Birth is sought to be registered was

born at Sydney Cape Breton County on April 13, 1922

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

Baptismal Certificate

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