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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000177

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Morton AllisonOsborne Sex Male

Date of Birth October 5, 1921 Place of Birth Cow BayCounty of Halifax

Name of Father James Seymour Osborne MAIDEN NAME of Mother Jennie  Elliott

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

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

Occupation of Father at Birth of child Farmer Place of birth of Father Cow Bay

Race English Name and present address of Physician in attendance at birth Dr. Cunningham

Signature of Applicant Morton Allison Osborne Address of Applicant Cow Bay Date September 2, 1953

Relationship of Applicant to child same

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Morton AllisonOsborne

Born at Cow Bay in the County of Halifax

That Morton AllisonOsborne Whose Birth is sought to be registered was

born at Cow Bay Halifax County on October 5, 1921

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

Certificate of Baptism which is attached hereto

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