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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000617

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Donald Edgar JohnMurphy Sex Male

Date of Birth June 6, 1922 Place of Birth DartmouthCounty of Halifax

Name of Father Alexander Murphy MAIDEN NAME of Mother Mercedes Green

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

Residence of Father when child was born Dartmouth Present address of Father Deceased

Occupation of Father at Birth of child Carpenter Place of birth of Father Porters Lake, Halifax

Race Name and present address of Physician in attendance at birth

Signature of Applicant Raymond J. Belliveau Address of Applicant 7 Stevens Road, Dartmouth Date 27 January 1977

Relationship of Applicant to child Friend

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Donald Edgar JohnMurphy

Born at Dartmouth in the County of Halifax

That Donald Edgar JohnMurphy Whose Birth is sought to be registered was

born at Dartmouth Halifax County on June 6, 1922

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

Baptismal certificate and extract from marriage.

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