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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

90600304

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth September 17, 1922 Place of Birth StellartonCounty of Pictou

Name of Father Frederick A. Brown MAIDEN NAME of Mother Lillian Routledge

Residence of Father when child was born Stellarton, Pictou Co., NS Present address of Father Deceased

Occupation of Father at Birth of child Miner Place of birth of Father Stellarton, Pictou Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Lillian Brown Address of Applicant Springville, Pictou Co., NS Date 3 July 1934

Relationship of Applicant to child Mother

AFFIDAVIT

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

Born at Stellarton in the County of Pictou

That Frederick AndrewBrown Whose Birth is sought to be registered was

born at Stellarton Pictou County on September 17, 1922

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

I am her mother

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