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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000532

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Mary CelinaMuise Sex Female

Date of Birth October 5, 1924 Place of Birth YarmouthCounty of Yarmouth

Name of Father Levi T. Muise MAIDEN NAME of Mother Alma Jones

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

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

Occupation of Father at Birth of child Fisherman Place of birth of Father Yarmouth County

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mary Muise Crawford Address of Applicant 4 Grove Park Square, Brampton, Ontario Date 25 February 1977

Relationship of Applicant to child N/A

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Mary CelinaMuise

Born at Yarmouth in the County of Yarmouth

That Mary CelinaMuise Whose Birth is sought to be registered was

born at Yarmouth Yarmouth County on October 5, 1924

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

Baptismal certificate, St. Ambrose Church, Yarmouth, NS

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