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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100330

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Joseph Brown Sex Male

Date of Birth April 23, 1920 Place of Birth SydneyCounty of Cape Breton

Name of Father Joseph Brown MAIDEN NAME of Mother Lucy Murphy

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

Residence of Father when child was born Reserve or Glace Bay Present address of Father deceased

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 Joseph Brown Address of Applicant Kitchener, Ontario Date February 19, 1985

Relationship of Applicant to child self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Joseph Brown

Born at Sydney in the County of Cape Breton

That Joseph Brown Whose Birth is sought to be registered was

born at Sydney Cape Breton County on April 23, 1920

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

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