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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000294

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Eva JaneMorrison Sex Female

Date of Birth February 7, 1921 Place of Birth Great VillageCounty of Colchester

Name of Father Ulysses Morrison MAIDEN NAME of Mother Mabel Pugsley Morrison

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

Residence of Father when child was born Great Village Present address of Father deceased

Occupation of Father at Birth of child Labourer Place of birth of Father Five Islands

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

Signature of Applicant Mrs. Mabel Morrison Address of Applicant 54 Jct. Rd. Springhill Date February 18, 1961

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Eva JaneMorrison

Born at Great Village in the County of Colchester

That Eva JaneMorrison Whose Birth is sought to be registered was

born at Great Village Colchester County on February 7, 1921

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

I am the mother of Eva Jane Morrison and have full knowledge of her birth as having occurred on February 7, 1921 School record and census report

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