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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000083

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of RosaliaMorgan Sex Female

Date of Birth July 21, 1924 Place of Birth 11 Annandale Street, HalifaxCounty of Halifax

Name of Father   MAIDEN NAME of Mother Rose Morgan

Were the Parents married at the time of the Birth? No

Residence of Father when child was born Present address of Father

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

Race Name and present address of Physician in attendance at birth

Signature of Applicant Rosalia Morgan Address of Applicant Halifax Infirmary, Queen Street, Halifax, NS Date 7 January 1949

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of RosaliaMorgan

Born at 11 Annandale Street, Halifax in the County of Halifax

That RosaliaMorgan Whose Birth is sought to be registered was

born at 11 Annandale Street, Halifax Halifax County on July 21, 1924

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

Certificate of Baptism attached

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