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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000106

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Charles StanislausMorely Sex Male

Date of Birth November 11, 1921 Place of Birth Glace BayCounty of Cape Breton

Name of Father Joseph Morely MAIDEN NAME of Mother Agnes Curry

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

Residence of Father when child was born Glace Bay Present address of Father Glace Bay

Occupation of Father at Birth of child Property Superintendant, Dominion Coal Place of birth of Father East Bay

Race English Name and present address of Physician in attendance at birth Dr. E.L. MacDonald

Signature of Applicant Joseph Morely Address of Applicant 148 Main St. Glace Bay Date December 29, 1948

Relationship of Applicant to child Father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Charles StanislausMorely

Born at Glace Bay in the County of Cape Breton

That Charles StanislausMorely Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on November 11, 1921

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

I am the father of the said Charles Stansislaus Morely and have personal knowledge of the date of his birth. I have also checked the fact and date of birth with family records.

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