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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100098

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Maurice WilliamBower Sex

Date of Birth August 12, 1920 Place of Birth BirchtownCounty of Shelburne

Name of Father Farnum H.  Bower MAIDEN NAME of Mother Flora Bethena Acker

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

Residence of Father when child was born Birchtown Present address of Father deceased

Occupation of Father at Birth of child Woodsman Place of birth of Father Clinton, Shelburne

Race Name and present address of Physician in attendance at birth

Signature of Applicant Maurice Bower Address of Applicant South Berwick Date October 10, 1980

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Maurice WilliamBower

Born at Birchtown in the County of Shelburne

That Maurice WilliamBower Whose Birth is sought to be registered was

born at Birchtown Shelburne County on August 12, 1920

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

1. I was informed by my parents that I was born at Birchtown, Shelburne County, on August 12, 1920. 2. I have always celebrated the anniversary of my birth on August 12th. 3. I believe that I am now 60 years of age. 4. Documentation including Census Records of National Registration Records indicate that I was born on August 12, 1920.

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