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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000737

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Rita AnnRobertson Sex Female

Date of Birth August 3, 1920 Place of Birth Sydney RiverCounty of Cape Breton

Name of Father John Robertson MAIDEN NAME of Mother Mary MacGillivray

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

Residence of Father when child was born Sydney Present address of Father Sydney River

Occupation of Father at Birth of child Salesman Place of birth of Father Sydney

Race Name and present address of Physician in attendance at birth

Signature of Applicant Frederick Windsor Address of Applicant Sydney Date July 4, 1975

Relationship of Applicant to child son

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Rita AnnRobertson

Born at Sydney River in the County of Cape Breton

That Rita AnnRobertson Whose Birth is sought to be registered was

born at Sydney River Cape Breton County on August 3, 1920

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

Baptism Certificate

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