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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000976

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth August 11, 1923 Place of Birth Glace BayCounty of Cape Breton

Name of Father James Morrison MAIDEN NAME of Mother Helen Simmons

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

Residence of Father when child was born Foundry Street Glace Bay Cape Breton Co. Ns Present address of Father Deceased

Occupation of Father at Birth of child Dominion Coal Company Place of birth of Father Morrison Road, Mira, Cape Breton Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Earl James Morrison Address of Applicant 764 Foundry Street, Glace Bay, Cape Breton Co., NS Date 6 May 1986

Relationship of Applicant to child Same

AFFIDAVIT

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

Born at Glace Bay in the County of Cape Breton

That Earl JamesMorrison Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on August 11, 1923

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

Baptismal certificate, Knox United Church

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