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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

41200027

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of David James FrancisMooney Sex Male

Date of Birth October 6, 1919 Place of Birth HalifaxCounty of Halifax

Name of Father Francis David Doyle Mooney MAIDEN NAME of Mother Margaret Catherine Morrow

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

Residence of Father when child was born Halifax Present address of Father 54 Barrington St.

Occupation of Father at Birth of child Checker Place of birth of Father Halifax

Race Name and present address of Physician in attendance at birth Dr. F.R. Letter

Signature of Applicant Francis D.D. Mooney Address of Applicant 54 Barrington St. Date 16 October 1919

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of David James FrancisMooney

Born at Halifax in the County of Halifax

That David James FrancisMooney Whose Birth is sought to be registered was

born at Halifax Halifax County on October 6, 1919

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

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