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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000241

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Pauline ElizabethMuise Sex Female

Date of Birth April 5, 1920 Place of Birth YarmouthCounty of Yarmouth

Name of Father William James  Muise MAIDEN NAME of Mother Ellen Oceana Vaccon

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

Residence of Father when child was born 30 Kempt Street, Yarmouth Present address of Father deceased

Occupation of Father at Birth of child Seaman Place of birth of Father Yarmouth

Race White Name and present address of Physician in attendance at birth Dr. G.W.T. Ferrish (deceased)

Signature of Applicant Edgar J. Boudreau Address of Applicant 11 Crescent Street, Yarmouth Date December 2, 1955

Relationship of Applicant to child Husband

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Pauline ElizabethMuise

Born at Yarmouth in the County of Yarmouth

That Pauline ElizabethMuise Whose Birth is sought to be registered was

born at Yarmouth Yarmouth County on April 5, 1920

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

A baptismal certificate showing her birth date as April 5th, 1920.

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