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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000842

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Vivian Viola AnnettaBrown Sex Female

Date of Birth January 5, 1920 Place of Birth HalifaxCounty of Halifax

Name of Father   MAIDEN NAME of Mother Ada Tangate

Were the Parents married at the time of the Birth?

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

Occupation of Father at Birth of child - Place of birth of Father -

Race Name and present address of Physician in attendance at birth

Signature of Applicant Vivian Hilton Address of Applicant Box 111, Elmsdale, Hants Co. Date 20 June 1977

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Vivian Viola AnnettaBrown

Born at Halifax in the County of Halifax

That Vivian Viola AnnettaBrown Whose Birth is sought to be registered was

born at Halifax Halifax County on January 5, 1920

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

Baptismal & marriage extract

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