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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

41200420

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Vernon BrownSchneider Sex Male

Date of Birth December 18, 1919 Place of Birth HalifaxCounty of Halifax

Name of Father Guy Brown MAIDEN NAME of Mother Gladys May Steadling

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

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

Occupation of Father at Birth of child Soldier Place of birth of Father Canaan, NS

Race Name and present address of Physician in attendance at birth Dr. M.A. MacAulay

Signature of Applicant Guy Brown Address of Applicant Date 16 January 1920

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Vernon BrownSchneider

Born at Halifax in the County of Halifax

That Vernon BrownSchneider Whose Birth is sought to be registered was

born at Halifax Halifax County on December 18, 1919

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

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