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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000650

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Margaret ElinorBrown Sex Female

Date of Birth April 26, 1923 Place of Birth Roger Hill CentreCounty of Pictou

Name of Father Arthur Brown MAIDEN NAME of Mother Bertha Creighton

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

Residence of Father when child was born Rogers Hill Centre Pictou Co. Ns Present address of Father Scotsburn, Pictou Co., NS

Occupation of Father at Birth of child Farmer Place of birth of Father

Race Name and present address of Physician in attendance at birth

Signature of Applicant Margaret Elinor Brown Oulton Address of Applicant RR #2, O'Leary, Prince Edward Island Date 13 January 1978

Relationship of Applicant to child Parents

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Margaret ElinorBrown

Born at Roger Hill Centre in the County of Pictou

That Margaret ElinorBrown Whose Birth is sought to be registered was

born at Roger Hill Centre Pictou County on April 26, 1923

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

Self

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