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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000066

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Vernon BrownMunsie Sex

Date of Birth May 21, 1920 Place of Birth PictouCounty of Pictou

Name of Father Sanford Smith Munsie MAIDEN NAME of Mother Susan Brown

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

Residence of Father when child was born Pictou Present address of Father Pictou

Occupation of Father at Birth of child Painter Place of birth of Father Green Hill

Race White Name and present address of Physician in attendance at birth Dr. Anderson (deceased)

Signature of Applicant Sandford Munsie Address of Applicant 92 High St. Pictou Date June 4, 1947

Relationship of Applicant to child Father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Vernon BrownMunsie

Born at Pictou in the County of Pictou

That Vernon BrownMunsie Whose Birth is sought to be registered was

born at Pictou Pictou County on May 21, 1920

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

I Sandford Munsie as father of the Child whose name is shown above was in the house at time of birth on May 21, 1920. Also having searched the church records for date of baptism, I received it entered there.

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