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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

91700401

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Murdock WilliamAnderson Sex Male

Date of Birth July 12, 1921 Place of Birth DartmouthCounty of Halifax

Name of Father James William Anderson MAIDEN NAME of Mother Josephine Dorothy Taylor

Residence of Father when child was born Dartmouth, NS Present address of Father St. Catharines, Ontario

Occupation of Father at Birth of child Hoise Operator Place of birth of Father Chezzetcook, Halifax Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Josephine Anderson Address of Applicant 13 Chelsea Street, St. Catharines, Ontario Date 8 February 1943

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Murdock WilliamAnderson

Born at Dartmouth in the County of Halifax

That Murdock WilliamAnderson Whose Birth is sought to be registered was

born at Dartmouth Halifax County on July 12, 1921

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

That I am his mother

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