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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000405

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Frederick AlexanderMorley Sex Male

Date of Birth November 20, 1922 Place of Birth Glace BayCounty of Cape Breton

Name of Father Joseph Hugh Morley MAIDEN NAME of Mother Agnes Curry

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

Residence of Father when child was born 148 Main Street, Glace Bay, Cape Breton Present address of Father Deceased

Occupation of Father at Birth of child Property Superintendent - Dominion Coal Company Place of birth of Father East Bay, Cape Breton

Race Name and present address of Physician in attendance at birth

Signature of Applicant Fred A. Morley Address of Applicant PO box 70, Pictou Date 21 January 1971

Relationship of Applicant to child Same

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Frederick AlexanderMorley

Born at Glace Bay in the County of Cape Breton

That Frederick AlexanderMorley Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on November 20, 1922

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

1. Statements by my parents 2. Baptismal Certificate... enclosed

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