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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000536

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of ArchieGillis Sex Male

Date of Birth July 7, 1924 Place of Birth New WaterfordCounty of Cape Breton

Name of Father Angus Alexander Gillis MAIDEN NAME of Mother Sarah McEachern

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

Residence of Father when child was born New Waterford, Cape Breton Co., NS Present address of Father Deceased

Occupation of Father at Birth of child Miner Place of birth of Father Inverness, NS or Ireland?

Race Name and present address of Physician in attendance at birth

Signature of Applicant Archie Gillis Address of Applicant RR #7, Orillia, Ontario Date 1 May 1977

Relationship of Applicant to child Applicant is the child

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of ArchieGillis

Born at New Waterford in the County of Cape Breton

That ArchieGillis Whose Birth is sought to be registered was

born at New Waterford Cape Breton County on July 7, 1924

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

My mother and father always stated that I was born as stated above. I always presumed that my birth was registered until I applied for a certificate. I enclose a baptism certificate showing my baptism occurred on the 13th day of July, 1924. My mother and father are now predeceased.

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