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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

36900432

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Kenneth CecilMuise Sex Male

Date of Birth November 30, 1924 Place of Birth YarmouthCounty of Yarmouth

Name of Father Thomas John Muise MAIDEN NAME of Mother Ada Florence Barry

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

Residence of Father when child was born Yarmouth South, NS Present address of Father

Occupation of Father at Birth of child Labourer Place of birth of Father Springhaven, Yarmouth County

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Thomas Muise Address of Applicant Yarmouth South, NS Date 16 June 1931

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Kenneth CecilMuise

Born at Yarmouth in the County of Yarmouth

That Kenneth CecilMuise Whose Birth is sought to be registered was

born at Yarmouth Yarmouth County on November 30, 1924

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

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