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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100226

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Eva GoldieMorrisey Sex Female

Date of Birth February 16, 1920 Place of Birth BelmontCounty of Colchester

Name of Father Albert Morrisey MAIDEN NAME of Mother Teresa Lochart

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

Residence of Father when child was born Belmont, Colchester Co. Present address of Father deceased

Occupation of Father at Birth of child Farmer Place of birth of Father Bear River, Digby Co.

Race Name and present address of Physician in attendance at birth

Signature of Applicant Eva G. Cassidy Address of Applicant Apt 1, 1544 King Street E., Hamilton, Ontario Date 28 October 1983

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Eva GoldieMorrisey

Born at Belmont in the County of Colchester

That Eva GoldieMorrisey Whose Birth is sought to be registered was

born at Belmont Colchester County on February 16, 1920

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

Exhibits A, B & C, attached

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