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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000258

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth October 13, 1923 Place of Birth Petite Riviere BridgeCounty of Lunenburg

Name of Father Urban Charles Brown MAIDEN NAME of Mother Olive Minnie Hirtle

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

Residence of Father when child was born Petite Riviere Bridge Lunenburg Co. Ns Present address of Father Petite Riviere Bridge, Lunenburg Co., NS

Occupation of Father at Birth of child Farmer Place of birth of Father Crousetown, Lunenburg Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Muriel Pauline Hiltz Address of Applicant 6 Lakeview Avenue, Dartmouth, NS Date 7 October 1960

Relationship of Applicant to child Self

AFFIDAVIT

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

Born at Petite Riviere Bridge in the County of Lunenburg

That Muriel PaulineBrown Whose Birth is sought to be registered was

born at Petite Riviere Bridge Lunenburg County on October 13, 1923

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

Cradle Roll Certificate, Dominion Bureau Statistics National Registration.

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