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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

64500083

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of DorothyKiernan Sex Female

Date of Birth October 20, 1919 Place of Birth AdvocateCounty of Cumberland

Name of Father Wordlow Havelock Moore MAIDEN NAME of Mother Nettie Mable Murphy

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

Residence of Father when child was born Advocate Present address of Father

Occupation of Father at Birth of child Bookkeeper Place of birth of Father Advocate

Race Name and present address of Physician in attendance at birth Dr. M.J. Fillmore

Signature of Applicant Wordlow Havelock Moore Address of Applicant Advocate Date 27 October 1919

Relationship of Applicant to child father

AFFIDAVIT

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

Born at Advocate in the County of Cumberland

That DorothyKiernan Whose Birth is sought to be registered was

born at Advocate Cumberland County on October 20, 1919

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

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