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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

91602918

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Robert B.Killam Sex Male

Date of Birth May 25, 1920 Place of Birth YarmouthCounty of Yarmouth

Name of Father George Killam MAIDEN NAME of Mother Mable Windsor

Residence of Father when child was born Yarmouth Present address of Father Yarmouth

Occupation of Father at Birth of child Coal Merchant Place of birth of Father Yarmouth

Race English Name and present address of Physician in attendance at birth Dr. Williamson, Yarmouth

Signature of Applicant George Killam Address of Applicant Yarmouth Date 4 May 1942

Relationship of Applicant to child Father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Robert B.Killam

Born at Yarmouth in the County of Yarmouth

That Robert B.Killam Whose Birth is sought to be registered was

born at Yarmouth Yarmouth County on May 25, 1920

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

I am the father of Robert B. Killam and do well remembert the day he was born. May 25, 1920, and so recorded in Killam family bible.

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