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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000980

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Barrie Jacob Munro Sex Male

Date of Birth May 31, 1920 Place of Birth Pictou (Three Brooks)County of Pictou

Name of Father Adam Cairns Munro MAIDEN NAME of Mother Margaret Jane Burke

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

Residence of Father when child was born Three Brooks, Pictou Present address of Father deceased

Occupation of Father at Birth of child Farmer Place of birth of Father Brookland

Race Name and present address of Physician in attendance at birth

Signature of Applicant Barrie Munro Address of Applicant Sydney Date March 28, 1979

Relationship of Applicant to child self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Barrie Jacob Munro

Born at Pictou (Three Brooks) in the County of Pictou

That Barrie Jacob Munro Whose Birth is sought to be registered was

born at Pictou (Three Brooks) Pictou County on May 31, 1920

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

Photostat of Birth Certificate (Baptism) enclosed

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