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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000938

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth June 14, 1922 Place of Birth East PrestonCounty of Halifax

Name of Father Harris Brown MAIDEN NAME of Mother Lalia Ross

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

Residence of Father when child was born East Preston, Halifax Present address of Father North Preston, Halifax

Occupation of Father at Birth of child Labourer Place of birth of Father East Preston, Halifax

Race Name and present address of Physician in attendance at birth

Signature of Applicant Frances Clements Address of Applicant 45 Alderney Drive, Dartmouth Date 3 June 1983

Relationship of Applicant to child Social Worker for the Black United Front

AFFIDAVIT

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

Born at East Preston in the County of Halifax

That Muriel ElizabethBrown Whose Birth is sought to be registered was

born at East Preston Halifax County on June 14, 1922

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

1. Court finding 2. Marriage #53-02-005142 3. Marriage #31-02-064368 4. Declaration from father

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