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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000115

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Ivan KennedyHillier Sex Male

Date of Birth May 24, 1923 Place of Birth Glace BayCounty of Cape Breton

Name of Father John J. Hillier MAIDEN NAME of Mother Adah McCuish

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

Residence of Father when child was born Glace Bay Cape Breton Co. Ns Present address of Father 262 South Street, Glace Bay, Cape Breton Co., NS

Occupation of Father at Birth of child Engineer Place of birth of Father Boston, Massachusetts

Race Name and present address of Physician in attendance at birth

Signature of Applicant Adah Hillier Address of Applicant Glace Bay, Cape Breton Co., NS Date 28 August 1950

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Ivan KennedyHillier

Born at Glace Bay in the County of Cape Breton

That Ivan KennedyHillier Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on May 24, 1923

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

I am his mother and recall his birth very clearly and I know he was born at Glace Bay, Cape Breton Co., NS. (Doctors' certificate and copy of church record attached)

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