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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100387

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Roy GeorgePurcell Sex Male

Date of Birth July 30, 1920 Place of Birth HalifaxCounty of Halifax

Name of Father George Frederick Bamber MAIDEN NAME of Mother Irene Purcell

Were the Parents married at the time of the Birth? No

Residence of Father when child was born Halifax Present address of Father

Occupation of Father at Birth of child Place of birth of Father England

Race Name and present address of Physician in attendance at birth

Signature of Applicant Roy George Purcell Address of Applicant Ottawa Date May 30, 1991

Relationship of Applicant to child self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Roy GeorgePurcell

Born at Halifax in the County of Halifax

That Roy GeorgePurcell Whose Birth is sought to be registered was

born at Halifax Halifax County on July 30, 1920

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

Baptism Army

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