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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000600

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Michael BurnsMorrison Sex Male

Date of Birth November 18, 1922 Place of Birth JubileeCounty of Victoria

Name of Father John Murdock Morrison MAIDEN NAME of Mother Christina Maude Burns

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

Residence of Father when child was born Jubilee, Victoria Present address of Father Deceased

Occupation of Father at Birth of child Farmer Place of birth of Father Jubilee, Victoria

Race Name and present address of Physician in attendance at birth

Signature of Applicant Michael Burns Morrison Address of Applicant 83 Fox Street, Lunenburg Date 13 September 1976

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Michael BurnsMorrison

Born at Jubilee in the County of Victoria

That Michael BurnsMorrison Whose Birth is sought to be registered was

born at Jubilee Victoria County on November 18, 1922

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

1. Told by both mother and father 2. Celebrated consistent for years 3. Assisted and confirmed by older brother John Morrison

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