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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

64500146

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Robert HarrisBrown Sex Male

Date of Birth November 18, 1919 Place of Birth SpringhillCounty of Cumberland

Name of Father William Henry Brown MAIDEN NAME of Mother Florence May McPhee

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

Residence of Father when child was born Springhill Present address of Father Chapell St.

Occupation of Father at Birth of child Coal miner Place of birth of Father Parrsboro

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

Signature of Applicant Florence May Brown Address of Applicant Chapell St., Springhill Date 05 December 1919

Relationship of Applicant to child mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Robert HarrisBrown

Born at Springhill in the County of Cumberland

That Robert HarrisBrown Whose Birth is sought to be registered was

born at Springhill Cumberland County on November 18, 1919

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

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