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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000084

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Josie DorothyMurray Sex Female

Date of Birth June 17, 1921 Place of Birth West Bay RoadCounty of Inverness

Name of Father Lewis A. Murray MAIDEN NAME of Mother Flora  MacKinnon

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

Residence of Father when child was born West Bay Road Present address of Father West Bay Road

Occupation of Father at Birth of child Farmer Place of birth of Father Lower River Inhabitants

Race Scottish Name and present address of Physician in attendance at birth

Signature of Applicant Lewis A. Murray Address of Applicant West Bay Road Date December 15, 1947

Relationship of Applicant to child Father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Josie DorothyMurray

Born at West Bay Road in the County of Inverness

That Josie DorothyMurray Whose Birth is sought to be registered was

born at West Bay Road Inverness County on June 17, 1921

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

The certificate attached shows clearly that the requested information is secured from the Family Bible.

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