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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000546

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Harry GeorgeMuise Sex Male

Date of Birth June 18, 1924 Place of Birth HalifaxCounty of Halifax

Name of Father Manning Muise MAIDEN NAME of Mother Rita Murphy

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

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

Occupation of Father at Birth of child Shoe Repair Place of birth of Father Yarmouth, NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant George H. Muise Address of Applicant 405 Melores Drive, Burlington, Ontario Date 20 July 1977

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Harry GeorgeMuise

Born at Halifax in the County of Halifax

That Harry GeorgeMuise Whose Birth is sought to be registered was

born at Halifax Halifax County on June 18, 1924

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

Baptismal Certificate Marriage extract

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