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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000287

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Lorna OsmondGillis Sex Female

Date of Birth December 28, 1924 Place of Birth DominionCounty of Cape Breton

Name of Father John Gillis MAIDEN NAME of Mother Julia Coady

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

Residence of Father when child was born Dominion, Cape Breton Co., NS Present address of Father Glace Bay, Cape Breton Co., NS

Occupation of Father at Birth of child Chief Engineer, Dominion Coal Co. Ltd. Place of birth of Father Dominion, Cape Breton Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Lorna Osmond Gillis (Kelly) Address of Applicant 386 West Avenue, New Aberdeen, Glace Bay, Cape Breton Co., NS Date 22 October 1965

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Lorna OsmondGillis

Born at Dominion in the County of Cape Breton

That Lorna OsmondGillis Whose Birth is sought to be registered was

born at Dominion Cape Breton County on December 28, 1924

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

Information received from parents Certificate of baptism

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