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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

91900033

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Peter ElmerBrow Sex Male

Date of Birth January 27, 1920 Place of Birth Cape JackCounty of Antigonish

Name of Father Peter B. Brow MAIDEN NAME of Mother Virginia Fougere

Residence of Father when child was born Cape Jack Present address of Father deceased

Occupation of Father at Birth of child Farmer Place of birth of Father Cape Jack

Race French Name and present address of Physician in attendance at birth Dr. J.S. Brean

Signature of Applicant John C. Boucher Address of Applicant Cape Jack Date February 16, 1945

Relationship of Applicant to child Godfather

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Peter ElmerBrow

Born at Cape Jack in the County of Antigonish

That Peter ElmerBrow Whose Birth is sought to be registered was

born at Cape Jack Antigonish County on January 27, 1920

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

I am the godfather of the aforesaid Peter Elmer Brow. I was a neighbour and distinctly remember the date and place of his birth.

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