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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000081

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Hugh DanGillis Sex Male

Date of Birth June 12, 1924 Place of Birth Mabou Harbour MountainCounty of Inverness

Name of Father Hugh R. Gillis MAIDEN NAME of Mother Mary MacPhee

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

Residence of Father when child was born Mabou Harbour Mountain, Inverness Co., NS Present address of Father Mabou Harbour Mountain, Inverness Co., NS

Occupation of Father at Birth of child Farmer Place of birth of Father Broad Cove Banks

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Hugh R. Gillis Address of Applicant Mabou Harbour Mountain, Inverness Co., NS Date 21 March 1949

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Hugh DanGillis

Born at Mabou Harbour Mountain in the County of Inverness

That Hugh DanGillis Whose Birth is sought to be registered was

born at Mabou Harbour Mountain Inverness County on June 12, 1924

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

I am his mother. Attached baptismal certificate

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