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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

90500519

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Lloyd GeorgeMorrison Sex Male

Date of Birth June 15, 1922 Place of Birth KarsdaleCounty of Annapolis

Name of Father George Morrison MAIDEN NAME of Mother Hattie Robblee

Residence of Father when child was born Karsdale Present address of Father deceased

Occupation of Father at Birth of child Farmer Place of birth of Father Victoria Beach

Race Name and present address of Physician in attendance at birth

Signature of Applicant Hattie Morrison Address of Applicant Karsdale Date May 23, 1940

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Lloyd GeorgeMorrison

Born at Karsdale in the County of Annapolis

That Lloyd GeorgeMorrison Whose Birth is sought to be registered was

born at Karsdale Annapolis County on June 15, 1922

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

That I am the mother of the said Lloyd George Morrison

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