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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

64500177

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth December 8, 1919 Place of Birth AmherstCounty of Cumberland

Name of Father John Edward Moore MAIDEN NAME of Mother Evelyn Dennings

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

Residence of Father when child was born North Sydney Present address of Father

Occupation of Father at Birth of child Labourer Place of birth of Father Parrsboro

Race Name and present address of Physician in attendance at birth Dr. F.E. Boudreau

Signature of Applicant Evelyn Moore Address of Applicant North Sydney Date 08 December 1919

Relationship of Applicant to child mother

AFFIDAVIT

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

Born at Amherst in the County of Cumberland

That Moore Whose Birth is sought to be registered was

born at Amherst Cumberland County on December 8, 1919

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

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