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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000372

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Alice Victoria PearlRobinson Sex Female

Date of Birth June 19, 1920 Place of Birth North SydneyCounty of Cape Breton

Name of Father Not given  MAIDEN NAME of Mother Mary Anne Robinson

Were the Parents married at the time of the Birth? No

Residence of Father when child was born Deceased Present address of Father Not given

Occupation of Father at Birth of child Not given Place of birth of Father Cape North, Victoria Co.

Race Canadian Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Thomas Howard Address of Applicant Shore Road, Florence, Cape Breton Co. Date 13 November 1961

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Alice Victoria PearlRobinson

Born at North Sydney in the County of Cape Breton

That Alice Victoria PearlRobinson Whose Birth is sought to be registered was

born at North Sydney Cape Breton County on June 19, 1920

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

that I am the mother of such child

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