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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000529

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Sydney EugeneMurray Sex Male

Date of Birth October 6, 1920 Place of Birth LiverpoolCounty of Queens

Name of Father Charles Clifford Murray MAIDEN NAME of Mother Sadie Elizabeth Conrad

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

Residence of Father when child was born Liverpool Present address of Father deceased

Occupation of Father at Birth of child Labourer - Mason Place of birth of Father Liverpool

Race Caucasian Name and present address of Physician in attendance at birth Dr. W. Smith, Liverpool

Signature of Applicant Sydney Eugene Murray Address of Applicant Liverpool Date September 3, 1970

Relationship of Applicant to child self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Sydney EugeneMurray

Born at Liverpool in the County of Queens

That Sydney EugeneMurray Whose Birth is sought to be registered was

born at Liverpool Queens County on October 6, 1920

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

Baptism certificate enclosed. Search of census return from Ottawa

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