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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000873

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth February 14, 1923 Place of Birth Bigney, River JohnCounty of Pictou

Name of Father Gordon Sillers MAIDEN NAME of Mother Florence Langille

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

Residence of Father when child was born Bigney River John Pictou Co. Ns Present address of Father Deceased

Occupation of Father at Birth of child Farmer Place of birth of Father Hodson, River John, Pictou Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Vernon G. Sillers Address of Applicant River John, Pictou Co., NS Date 16 June 1983

Relationship of Applicant to child Self

AFFIDAVIT

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

Born at Bigney, River John in the County of Pictou

That VernSillers Whose Birth is sought to be registered was

born at Bigney, River John Pictou County on February 14, 1923

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

I am a relative and remember the birth. It is written in the family bible (signed Helen E. Logan)

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