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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

64500118

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Donald ClaytonBrown Sex Male

Date of Birth November 6, 1919 Place of Birth Joggins MinesCounty of Cumberland

Name of Father Roy F Brown MAIDEN NAME of Mother Beatrice E Kennedy

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

Residence of Father when child was born Joggins Mines Present address of Father

Occupation of Father at Birth of child Miner Place of birth of Father Lower Cove

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

Signature of Applicant Roy F. Brown Address of Applicant Joggins Mines Date 04 December 1919

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Donald ClaytonBrown

Born at Joggins Mines in the County of Cumberland

That Donald ClaytonBrown Whose Birth is sought to be registered was

born at Joggins Mines Cumberland County on November 6, 1919

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

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