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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

41200323

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of LaurenceMurphy Sex Male

Date of Birth November 28, 1919 Place of Birth HalifaxCounty of Halifax

Name of Father Daniel Phillip Murphy MAIDEN NAME of Mother Myra Madeline Jewell

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

Residence of Father when child was born Halifax Present address of Father 59 Gottingen St.

Occupation of Father at Birth of child Lumber Surveyor Place of birth of Father Sheet Harbour

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

Signature of Applicant Myra Madeline Murphy Address of Applicant 59 Gottingen St. Date 06 December 1919

Relationship of Applicant to child mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of LaurenceMurphy

Born at Halifax in the County of Halifax

That LaurenceMurphy Whose Birth is sought to be registered was

born at Halifax Halifax County on November 28, 1919

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

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