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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

92800480

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Marjorie EllenMorton Sex Female

Date of Birth September 4, 1923 Place of Birth YarmouthCounty of Yarmouth

Name of Father Jeremiah Morton MAIDEN NAME of Mother Lillie May Atkins

Residence of Father when child was born Yarmouth, NS Present address of Father Yarmouth, NS

Occupation of Father at Birth of child Night Watchman Place of birth of Father Yarmouth, NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Lillie M. Morton Address of Applicant Yarmouth, NS Date 28 September 1944

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Marjorie EllenMorton

Born at Yarmouth in the County of Yarmouth

That Marjorie EllenMorton Whose Birth is sought to be registered was

born at Yarmouth Yarmouth County on September 4, 1923

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

I am the mother of Marjorie Ellen Morton

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