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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

90600929

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Irene LenaPurdy Sex Female

Date of Birth December 29, 1921 Place of Birth MalagashCounty of Cumberland

Name of Father Herbert Joseph Purdy MAIDEN NAME of Mother Lena MacGill

Residence of Father when child was born Malagash, Cumberland Co., NS Present address of Father Malagash, Cumberland Co., NS

Occupation of Father at Birth of child Farmer Place of birth of Father Malagash, Cumberland Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Lena Purdy Address of Applicant Malagash, Cumberland Co., NS Date 27 July 1938

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Irene LenaPurdy

Born at Malagash in the County of Cumberland

That Irene LenaPurdy Whose Birth is sought to be registered was

born at Malagash Cumberland County on December 29, 1921

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

I am the mother of Irene Lena Purdy

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