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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000159

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Donald MannStillman Sex Male

Date of Birth December 20, 1924 Place of Birth BurlingtonCounty of Hants

Name of Father Norman Henry Stillman MAIDEN NAME of Mother Helen Catherine Mann

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

Residence of Father when child was born Burlington, Hants Co., NS Present address of Father

Occupation of Father at Birth of child Carpenter Place of birth of Father Newport Landing, Hants Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Helen C. Stillman Address of Applicant Centre Burlington, Hants Co., NS Date 10 January 1925

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Donald MannStillman

Born at Burlington in the County of Hants

That Donald MannStillman Whose Birth is sought to be registered was

born at Burlington Hants County on December 20, 1924

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

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