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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000306

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Ivy MayBrown Sex Female

Date of Birth May 20, 1924 Place of Birth AfricvilleCounty of Halifax

Name of Father   MAIDEN NAME of Mother Matilda Brown

Were the Parents married at the time of the Birth? No

Residence of Father when child was born Present address of Father

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

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Ivy Marsman Address of Applicant 26 Mountain Road, Armdale, Halifax Co., NS Date 15 March 1967

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Ivy MayBrown

Born at Africville in the County of Halifax

That Ivy MayBrown Whose Birth is sought to be registered was

born at Africville Halifax County on May 20, 1924

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

Marriage record, census record, school record Census record gives in error, surname as "Carvery". Correct surname was Brown

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