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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

41200498

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of John AlexanderBrown Sex Male

Date of Birth December 29, 1919 Place of Birth HalifaxCounty of Halifax

Name of Father John Abram Brown MAIDEN NAME of Mother Harriet Freda Bowan

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

Residence of Father when child was born Halifax Present address of Father 14 Starr St.

Occupation of Father at Birth of child Labourer Place of birth of Father Halifax

Race Name and present address of Physician in attendance at birth Dr. Grace Rice

Signature of Applicant John Abram Brown Address of Applicant 14 Starr St. Date 03 February1920

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of John AlexanderBrown

Born at Halifax in the County of Halifax

That John AlexanderBrown Whose Birth is sought to be registered was

born at Halifax Halifax County on December 29, 1919

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

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