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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000338

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of JohnHiltz Sex Male

Date of Birth February 28, 1923 Place of Birth North AltonCounty of Kings

Name of Father Thomas Edward Hiltz MAIDEN NAME of Mother Rebecca Julia Rafuse

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

Residence of Father when child was born North Alton Kings Co. Ns Present address of Father Deceased

Occupation of Father at Birth of child Farmer Place of birth of Father New Ross, Lunenburg Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Julia MacLeod Address of Applicant RR #3, Kentville, Kings Co. NS Date 1 April 1968

Relationship of Applicant to child Sister

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of JohnHiltz

Born at North Alton in the County of Kings

That JohnHiltz Whose Birth is sought to be registered was

born at North Alton Kings County on February 28, 1923

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

I am an older sister and clearly remember date and time of said birth.

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