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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100194

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth December 11, 1920 Place of Birth Glace BayCounty of Cape Breton

Name of Father Charles Morgan MAIDEN NAME of Mother Rebecca Snow

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 Miner Place of birth of Father Newfoundland

Race Name and present address of Physician in attendance at birth

Signature of Applicant Charles Morgan Address of Applicant Glace Bay Date November 10, 1982

Relationship of Applicant to child same party

AFFIDAVIT

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

Born at Glace Bay in the County of Cape Breton

That CharlesMorgan Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on December 11, 1920

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

1. Letter from Superintendent of Schools 2. Report of the National Registration of Canada

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