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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000747

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Murray CrawfordGraham Sex Male

Date of Birth April 6, 1920 Place of Birth Glace BayCounty of Cape Breton

Name of Father Murray Graham MAIDEN NAME of Mother Erna  Bond

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

Residence of Father when child was born Glace Bay Present address of Father deceased

Occupation of Father at Birth of child Stationary Engineer Place of birth of Father Brookfield

Race Name and present address of Physician in attendance at birth

Signature of Applicant Murray Crawford Graham Address of Applicant Glace Bay Date October 6, 1975

Relationship of Applicant to child self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Murray CrawfordGraham

Born at Glace Bay in the County of Cape Breton

That Murray CrawfordGraham Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on April 6, 1920

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

Always told by my parents, also attached Dedication Certificate from the Salvation Army Hospital, Birth Certificate, and school record for 1925-1926 school term

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