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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000859

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Mary NatalieMuise Sex Female

Date of Birth April 9, 1922 Place of Birth YarmouthCounty of Yarmouth

Name of Father thomas William Muise MAIDEN NAME of Mother Frances Jane Deveau

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 Mill Hand Place of birth of Father Yarmouth

Race Name and present address of Physician in attendance at birth

Signature of Applicant M. N. Keech Address of Applicant 440 1/2 Main Street, Yarmouth Date 30 September 1981

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Mary NatalieMuise

Born at Yarmouth in the County of Yarmouth

That Mary NatalieMuise Whose Birth is sought to be registered was

born at Yarmouth Yarmouth County on April 9, 1922

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

According to our church baptism and birth records as included with this affidavit.

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