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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000627

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Shirley MargueriteMurphy Sex Female

Date of Birth January 21, 1922 Place of Birth SydneyCounty of Cape Breton

Name of Father Matthew Murphy MAIDEN NAME of Mother Marguerite Fanning

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

Residence of Father when child was born Sydney, Cape Breton Present address of Father Deceased

Occupation of Father at Birth of child Steel worker Place of birth of Father

Race Name and present address of Physician in attendance at birth

Signature of Applicant Shirley Marguerite MacKenzie Address of Applicant 94 Inglis Street, Sydney, Cape Breton Date March 1977

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Shirley MargueriteMurphy

Born at Sydney in the County of Cape Breton

That Shirley MargueriteMurphy Whose Birth is sought to be registered was

born at Sydney Cape Breton County on January 21, 1922

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

Baptismal certificate issued in the incorrect name of Catherine Margaret Murphy as well as personal conversation with the above mentioned.

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