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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000669

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Clifford RoderickMorrison Sex Male

Date of Birth January 26, 1922 Place of Birth SydneyCounty of Cape Breton

Name of Father Archibald Morrison MAIDEN NAME of Mother Annie Mae MacLeod

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 Railroad Man, Canadian National Railway Place of birth of Father West Bay Road, Cape Breton

Race Name and present address of Physician in attendance at birth

Signature of Applicant C. R. Morrison Address of Applicant 37 Argyle Street, Sydney, Cape Breton Date 13 January 1970

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Clifford RoderickMorrison

Born at Sydney in the County of Cape Breton

That Clifford RoderickMorrison Whose Birth is sought to be registered was

born at Sydney Cape Breton County on January 26, 1922

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

I had been informed by my parents that January 26th, 1922 is my birth date and throughout my lifetime celebrated my birthday on that particular day each and every year.

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