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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000908

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Douglas GeraldMurray Sex Male

Date of Birth April 7, 1920 Place of Birth TrentonCounty of Pictou

Name of Father William Murray MAIDEN NAME of Mother Bertha Reid

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

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

Occupation of Father at Birth of child Steelworker Place of birth of Father Little Egypt, Pictou

Race Name and present address of Physician in attendance at birth

Signature of Applicant Douglas G. Murray Address of Applicant Trenton Date February 16, 1978

Relationship of Applicant to child self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Douglas GeraldMurray

Born at Trenton in the County of Pictou

That Douglas GeraldMurray Whose Birth is sought to be registered was

born at Trenton Pictou County on April 7, 1920

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

Enclosed Record of Employment and School record

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