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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100111

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Mary MargaretMuise Sex

Date of Birth July 18, 1920 Place of Birth YarmouthCounty of Yarmouth

Name of Father Leo Joseph Muise MAIDEN NAME of Mother Mary Jane Hubbard

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

Residence of Father when child was born Present address of Father

Occupation of Father at Birth of child Yarmouth North Place of birth of Father Concession, Digby County

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mary Margaret Muise Address of Applicant c/o Leo Muise, R.R. # 4, Yarmouth County Date February 19, 1981

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Mary MargaretMuise

Born at Yarmouth in the County of Yarmouth

That Mary MargaretMuise Whose Birth is sought to be registered was

born at Yarmouth Yarmouth County on July 18, 1920

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

I should be registered in Halifax.

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