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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000225

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Norman ErnestPurcell Sex Male

Date of Birth April 6, 1924 Place of Birth HalifaxCounty of Halifax

Name of Father Ernest Samuel Purcell MAIDEN NAME of Mother Mary Purcell

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

Residence of Father when child was born Halifax, NS Present address of Father Deceased

Occupation of Father at Birth of child Mechanic Place of birth of Father Halifax, NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Norman E. Purcell Address of Applicant 700 C Ropel Crescent, Apt 2, Ottawa, Ontario Date 11 April 1960

Relationship of Applicant to child Wife

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Norman ErnestPurcell

Born at Halifax in the County of Halifax

That Norman ErnestPurcell Whose Birth is sought to be registered was

born at Halifax Halifax County on April 6, 1924

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

I am the mother of Norman Ernest Purcell The name Earnest is an incorrect spelling & should read Ernest

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