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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

41200474

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Morris ZBernstein Sex Male

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

Name of Father Abraham I Bernstein MAIDEN NAME of Mother Jennie Goldstein

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

Residence of Father when child was born Halifax Present address of Father 67 Maynard St.

Occupation of Father at Birth of child Country peddler Place of birth of Father Russia Poland

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

Signature of Applicant Abraham J. Bernstein Address of Applicant 67 Maynard St. Date 27 December 1919

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Morris ZBernstein

Born at Halifax in the County of Halifax

That Morris ZBernstein Whose Birth is sought to be registered was

born at Halifax Halifax County on December 26, 1919

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

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