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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

91700225

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Walter KennethPurcell Sex Male

Date of Birth March 30, 1922 Place of Birth Purcells CoveCounty of Halifax

Name of Father John William Purcell MAIDEN NAME of Mother Celey Maude Doman

Residence of Father when child was born Purcells Cove, Halifax Co., NS Present address of Father Purcells Cove, Halifax Co., NS

Occupation of Father at Birth of child Labourer Place of birth of Father Purcells Cove, Halifax Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Doris E. macLean Address of Applicant Purcells Cove, Halifax Co., NS Date 28 December 1942

Relationship of Applicant to child Sister

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Walter KennethPurcell

Born at Purcells Cove in the County of Halifax

That Walter KennethPurcell Whose Birth is sought to be registered was

born at Purcells Cove Halifax County on March 30, 1922

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

I have examined the record on the family bible at Purcells cove and find that the date of birth of Walter Kenneth Purcell is entered therein as March 30th, 1922.

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