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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

36900431

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of George AlbertMorris Sex Male

Date of Birth October 22, 1924 Place of Birth YarmouthCounty of Yarmouth

Name of Father Joseph P. Morris MAIDEN NAME of Mother Martha Muise

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

Occupation of Father at Birth of child Auto (Tops?) Place of birth of Father Pubnico, Yarmouth Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Martha Morris Address of Applicant Yarmouth, NS Date 21 November 1927

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of George AlbertMorris

Born at Yarmouth in the County of Yarmouth

That George AlbertMorris Whose Birth is sought to be registered was

born at Yarmouth Yarmouth County on October 22, 1924

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

I am his mother

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