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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000402

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Earl OsborneMorrison Sex Male

Date of Birth May 26, 1923 Place of Birth Bass RiverCounty of Colchester

Name of Father Ulysses Sanfield Morrison MAIDEN NAME of Mother Mabel Lillian Pugsley

Were the Parents married at the time of the Birth? Yes

Residence of Father when child was born Bass River Colchester Co. Ns Present address of Father Deceased

Occupation of Father at Birth of child Blacksmith Place of birth of Father Economy, Colchester Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Earl O. Morrison Address of Applicant Bass River, Colchester Co., NS Date 1971

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Earl OsborneMorrison

Born at Bass River in the County of Colchester

That Earl OsborneMorrison Whose Birth is sought to be registered was

born at Bass River Colchester County on May 26, 1923

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

1. Census 2. Entry in family bible

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