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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000432

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Frederick LouisMuise Sex Male

Date of Birth April 13, 1922 Place of Birth YarmouthCounty of Yarmouth

Name of Father Irenee Muise MAIDEN NAME of Mother Rosalia Muise

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

Residence of Father when child was born Porters Street, Yarmouth Present address of Father Deceased

Occupation of Father at Birth of child Carpenter Place of birth of Father Quinan, Yarmouth

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. may Ida Tufts Address of Applicant 15 Parkstone Road, Dartmouth Date 22 October 1971

Relationship of Applicant to child Sister

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Frederick LouisMuise

Born at Yarmouth in the County of Yarmouth

That Frederick LouisMuise Whose Birth is sought to be registered was

born at Yarmouth Yarmouth County on April 13, 1922

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

Baptism certificate

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