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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000540

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Shirley HelenaPurcell Sex Female

Date of Birth October 18, 1923 Place of Birth HalifaxCounty of Halifax

Name of Father Harold James Purcell MAIDEN NAME of Mother Helene May Peart

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

Residence of Father when child was born Halifax Present address of Father deceased

Occupation of Father at Birth of child CNR Place of birth of Father Halifax

Race Name and present address of Physician in attendance at birth

Signature of Applicant K. Peart Address of Applicant Halifax Date October 3, 1975

Relationship of Applicant to child Aunt

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Shirley HelenaPurcell

Born at Halifax in the County of Halifax

That Shirley HelenaPurcell Whose Birth is sought to be registered was

born at Halifax Halifax County on October 18, 1923

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

Baptismal

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