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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000333

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Dolina JeanetteMurray Sex Female

Date of Birth October 23, 1920 Place of Birth MeadowvilleCounty of Pictou

Name of Father John William Murray MAIDEN NAME of Mother Margaret Catherine Murray

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

Residence of Father when child was born Meadowville, Pictou Co. Present address of Father deceased

Occupation of Father at Birth of child Farmer Place of birth of Father Meadowville, Pictou Co.

Race Scottish Name and present address of Physician in attendance at birth Dr. Andrew Duncan Murray

Signature of Applicant D. J. Guy Address of Applicant 35 Inglis Street, Halifax Date 2 December 1960

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Dolina JeanetteMurray

Born at Meadowville in the County of Pictou

That Dolina JeanetteMurray Whose Birth is sought to be registered was

born at Meadowville Pictou County on October 23, 1920

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

National Registration and Doctor's record.

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