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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000497

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Stephen IgnatiusBrown Sex Male

Date of Birth January 2, 1924 Place of Birth SydneyCounty of Cape Breton

Name of Father Thomas P. Brown MAIDEN NAME of Mother Mary E. Cautfill

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

Residence of Father when child was born Sydney, Cape Breton Co., NS Present address of Father Deceased

Occupation of Father at Birth of child Steel Worker Place of birth of Father St. John's, Newfoundland

Race Name and present address of Physician in attendance at birth

Signature of Applicant Stephen Ignatius Brown Address of Applicant 472 Atlantic Street, Sydney, Cape Breton Co., NS Date 7 May 1976

Relationship of Applicant to child Same Person

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Stephen IgnatiusBrown

Born at Sydney in the County of Cape Breton

That Stephen IgnatiusBrown Whose Birth is sought to be registered was

born at Sydney Cape Breton County on January 2, 1924

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

Perusal of Certificate of Baptism (attached)

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