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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100214

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Jessie MayBrown Sex Female

Date of Birth June 6, 1921 Place of Birth YarmouthCounty of Yarmouth

Name of Father James Alfred Brown MAIDEN NAME of Mother Louise Brown

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

Residence of Father when child was born Yarmouth Present address of Father deceased

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

Race Name and present address of Physician in attendance at birth

Signature of Applicant Jessie May Brown Address of Applicant 2066 Favard, #213 St-Jacques Date 27 April 1989

Relationship of Applicant to child n/a

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Jessie MayBrown

Born at Yarmouth in the County of Yarmouth

That Jessie MayBrown Whose Birth is sought to be registered was

born at Yarmouth Yarmouth County on June 6, 1921

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

I was always led to believe that my date of birth was June 6th 1921 descripencies in the various documents indicating a date of birth tend to confirm the correct date of birth as being June 6th, 1921, and my father was James Alfred Brown and my mother was Louise Brown.

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