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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

41200295

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Morley RalphSalter Sex Male

Date of Birth November 24, 1919 Place of Birth HalifaxCounty of Halifax

Name of Father Percy Reid Salter MAIDEN NAME of Mother Mae Geneva Rafuse

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

Residence of Father when child was born Halifax Present address of Father 14 1/2 Vernon St.

Occupation of Father at Birth of child Meat cutter Place of birth of Father Windsor

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

Signature of Applicant Percy Reid Salter Address of Applicant 14 1/2 Vernon St. Date 27 November 1919

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Morley RalphSalter

Born at Halifax in the County of Halifax

That Morley RalphSalter Whose Birth is sought to be registered was

born at Halifax Halifax County on November 24, 1919

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

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