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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000402

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Robert BruceElliott Sex Male

Date of Birth April 17, 1920 Place of Birth HalifaxCounty of Halifax

Name of Father John William Elliott MAIDEN NAME of Mother Nina May Atkins

Residence of Father when child was born Box 281, Telkwa, British Columbia Present address of Father Not given

Occupation of Father at Birth of child Steelworker Place of birth of Father Pictou Co.

Race Scottish Name and present address of Physician in attendance at birth Dr. P. A. MacDonald

Signature of Applicant Rolina MacAulay Address of Applicant 282 Tower Road, Halifax Date 29 April 1920

Relationship of Applicant to child None

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Robert BruceElliott

Born at Halifax in the County of Halifax

That Robert BruceElliott Whose Birth is sought to be registered was

born at Halifax Halifax County on April 17, 1920

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

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