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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

93602137

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Lionel SelwynPurdy Sex Male

Date of Birth April 13, 1906 Place of Birth PlymouthCounty of Yarmouth

Name of Father James Purdy MAIDEN NAME of Mother Rose Johnson

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

Occupation of Father at Birth of child Wharf Builder Place of birth of Father Plymouth

Race English Name and present address of Physician in attendance at birth Dr. W. F. Phinney

Signature of Applicant James V. Purdy Address of Applicant Plymouth Date 7 August 1925

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Lionel SelwynPurdy

Born at Plymouth in the County of Yarmouth

That Lionel SelwynPurdy Whose Birth is sought to be registered was

born at Plymouth Yarmouth County on April 13, 1906

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

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