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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000499

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Mary AnneGillis Sex Female

Date of Birth June 12, 1924 Place of Birth Margaree HarbourCounty of Inverness

Name of Father Daniel Joseph Gillis MAIDEN NAME of Mother Catherine MacKinnon

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

Residence of Father when child was born Margaree Harbour, Inverness Co., NS Present address of Father Deceased

Occupation of Father at Birth of child Carpenter Place of birth of Father Belle Cote, Inverness Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Catherine Gillis Address of Applicant Belle Cote, Inverness Co., NS Date 18 May 1976

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Mary AnneGillis

Born at Margaree Harbour in the County of Inverness

That Mary AnneGillis Whose Birth is sought to be registered was

born at Margaree Harbour Inverness County on June 12, 1924

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

I am her mother

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