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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100077

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Allen WinfieldMiller Sex Male

Date of Birth October 5, 1923 Place of Birth Whitney PierCounty of Cape Breton

Name of Father William Miller MAIDEN NAME of Mother Lucy Ivney

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

Residence of Father when child was born Present address of Father

Occupation of Father at Birth of child Place of birth of Father Newfoundland

Race Name and present address of Physician in attendance at birth

Signature of Applicant A.W. Miller Address of Applicant 250 William St. Hawkesbury, Ontario Date March 9, 1998

Relationship of Applicant to child Myself

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Allen WinfieldMiller

Born at Whitney Pier in the County of Cape Breton

That Allen WinfieldMiller Whose Birth is sought to be registered was

born at Whitney Pier Cape Breton County on October 5, 1923

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

Certificate of baptism

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