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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000336

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Lloyd EugeneJobb Sex Male

Date of Birth February 5, 1920 Place of Birth Collingwood CornerCounty of Cumberland

Name of Father Perley Oscar Jobb MAIDEN NAME of Mother Ella Rushton

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

Residence of Father when child was born Williamsdale, Cumberland Co Present address of Father

Occupation of Father at Birth of child Farmer Place of birth of Father Williamsdale, Cumberland Co.

Race English Name and present address of Physician in attendance at birth Dr. O. L. Salter, Oxford, Cumberland Co.

Signature of Applicant Ella Rushton Address of Applicant Collingwood Corner, Cumberland Co. Date 2 March 1920

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Lloyd EugeneJobb

Born at Collingwood Corner in the County of Cumberland

That Lloyd EugeneJobb Whose Birth is sought to be registered was

born at Collingwood Corner Cumberland County on February 5, 1920

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

in accordance with the birth section 5 of the Vital Statistics Act

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