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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

90600771

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Bernard EdwardMulcahy Sex Male

Date of Birth February 17, 1921 Place of Birth HalifaxCounty of Halifax

Name of Father James Peter Mulcahy MAIDEN NAME of Mother Mary Frances Myers

Residence of Father when child was born 15 Yorke Street, Halifax, NS Present address of Father Halifax, NS

Occupation of Father at Birth of child Purchasing Clerk (Naval Stores) Place of birth of Father Halifax, NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant James Peter Mulcahy Address of Applicant 15 Yorke Street, Halifax, NS Date 13 September 1937

Relationship of Applicant to child Father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Bernard EdwardMulcahy

Born at Halifax in the County of Halifax

That Bernard EdwardMulcahy Whose Birth is sought to be registered was

born at Halifax Halifax County on February 17, 1921

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

I am his father and was present at time of birth.

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