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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

93501790

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Murray DouglasGray Sex Male

Date of Birth March 14, 1906 Place of Birth DeerfieldCounty of Yarmouth

Name of Father Isaac Hartley Gray MAIDEN NAME of Mother Maude Winifred Blackadar

Residence of Father when child was born Deerfield Present address of Father deceased

Occupation of Father at Birth of child Miller Place of birth of Father Brazil Lake

Race English Name and present address of Physician in attendance at birth Reginald Morse

Signature of Applicant Mrs. William Cam [Maude Winifred Cam] Address of Applicant Deerfield Date 5 May 1926

Relationship of Applicant to child mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Murray DouglasGray

Born at Deerfield in the County of Yarmouth

That Murray DouglasGray Whose Birth is sought to be registered was

born at Deerfield Yarmouth County on March 14, 1906

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

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