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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000679

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Muriel JeanThompson Sex Female

Date of Birth May 27, 1921 Place of Birth River JohnCounty of Pictou

Name of Father John Thompson MAIDEN NAME of Mother Florence Langille

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

Residence of Father when child was born River John Present address of Father deceased

Occupation of Father at Birth of child Place of birth of Father Pictou County

Race Name and present address of Physician in attendance at birth

Signature of Applicant Margaret Shaw Address of Applicant Dartmouth Date April 22, 1977

Relationship of Applicant to child None

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Muriel JeanThompson

Born at River John in the County of Pictou

That Muriel JeanThompson Whose Birth is sought to be registered was

born at River John Pictou County on May 27, 1921

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

Baptismal Certificate and Marriage Record

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