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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

41200146

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Marie FrancisMoros Sex Female

Date of Birth October 26, 1919 Place of Birth HalifaxCounty of Halifax

Name of Father John Moros MAIDEN NAME of Mother Sophia Roma

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

Residence of Father when child was born Halifax Present address of Father 28 Blowers St.

Occupation of Father at Birth of child Pedlar [Peddler] Place of birth of Father Mytlyne, Greece

Race Name and present address of Physician in attendance at birth Dr. Grace Rice

Signature of Applicant Sophia Moros Address of Applicant 28 Blowers St. Date 25 November 1919

Relationship of Applicant to child mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Marie FrancisMoros

Born at Halifax in the County of Halifax

That Marie FrancisMoros Whose Birth is sought to be registered was

born at Halifax Halifax County on October 26, 1919

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

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