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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000234

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Granger BrownellMartin Sex Male

Date of Birth December 16, 1920 Place of Birth SydneyCounty of Cape Breton

Name of Father Not given  MAIDEN NAME of Mother margaret Martin

Were the Parents married at the time of the Birth?

Residence of Father when child was born Not given Present address of Father Not given

Occupation of Father at Birth of child Not given Place of birth of Father Not given

Race White Name and present address of Physician in attendance at birth Dr. J. F. MacAulay

Signature of Applicant Margaret Martin Address of Applicant 186 Kings Road, Sydney, Cape Breton Co. Date 7 July 1955

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Granger BrownellMartin

Born at Sydney in the County of Cape Breton

That Granger BrownellMartin Whose Birth is sought to be registered was

born at Sydney Cape Breton County on December 16, 1920

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

I am the mother of Granger Brownell Martin, my illegitimate child. (Baptism record)

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