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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000574

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Natalie JoyceMuise Sex Female

Date of Birth January 11, 1922 Place of Birth AmherstCounty of Cumberland

Name of Father James Bernard Muise MAIDEN NAME of Mother Ma4ry Catherine Moran

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

Residence of Father when child was born Amherst, Cumberland Present address of Father Deceased

Occupation of Father at Birth of child School Teacher Place of birth of Father Weymouth, Digby

Race Name and present address of Physician in attendance at birth

Signature of Applicant Natalie J. Barnell Address of Applicant Box 1367, Hope, British Columbia Date 13 April 1976

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Natalie JoyceMuise

Born at Amherst in the County of Cumberland

That Natalie JoyceMuise Whose Birth is sought to be registered was

born at Amherst Cumberland County on January 11, 1922

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

Baptismal certificate provided.

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