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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

64500225

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth December 3, 1919 Place of Birth Springhill MinesCounty of Cumberland

Name of Father Amos William Brown MAIDEN NAME of Mother Maggie Ellen Growther

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

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

Occupation of Father at Birth of child Steam engineer Place of birth of Father Lakeland

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

Signature of Applicant Amos William Brown Address of Applicant Springhill Mines Date 22 December 1919

Relationship of Applicant to child father

AFFIDAVIT

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

Born at Springhill Mines in the County of Cumberland

That John MelvilleBrown Whose Birth is sought to be registered was

born at Springhill Mines Cumberland County on December 3, 1919

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

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