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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000031

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of William Daniel Brown Sex Male

Date of Birth February 19, 1920 Place of Birth St. AnnsCounty of Victoria

Name of Father Duncan Brown MAIDEN NAME of Mother Murdena MacLeod

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

Residence of Father when child was born St. Ann's Present address of Father deceased

Occupation of Father at Birth of child Blacksmith Place of birth of Father Sydney River

Race Scottish Irish Name and present address of Physician in attendance at birth Dr. MacAulay

Signature of Applicant Murdena Keefe Address of Applicant 680 Alexandra St. Sydney Date November 4, 1947

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of William Daniel Brown

Born at St. Anns in the County of Victoria

That William Daniel Brown Whose Birth is sought to be registered was

born at St. Anns Victoria County on February 19, 1920

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

That I am the mother of the said William Daniel Brown and I know that the facts set forth above respecting the date and place of his birth, are true and correct.

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