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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

41200409

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Mathew JamesMoriarty Sex Male

Date of Birth December 17, 1919 Place of Birth HalifaxCounty of Halifax

Name of Father Michael Moriarty MAIDEN NAME of Mother Maud Horne

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

Residence of Father when child was born Halifax Present address of Father 9 Rottenburg St.

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

Race Name and present address of Physician in attendance at birth Dr. E.D. Farrell

Signature of Applicant Michael Moriarty Address of Applicant 9 Rottenburg St. Date 17 December 1919

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Mathew JamesMoriarty

Born at Halifax in the County of Halifax

That Mathew JamesMoriarty Whose Birth is sought to be registered was

born at Halifax Halifax County on December 17, 1919

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

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