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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000802

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Gerald ColmenRobinson Sex Male

Date of Birth January 21, 1920 Place of Birth GreenwichCounty of Kings

Name of Father Walter Robinson MAIDEN NAME of Mother Sarah Jackson

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

Residence of Father when child was born Greenwich, Kings Co. Present address of Father deceased

Occupation of Father at Birth of child Labourer Place of birth of Father

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Patricia Oliver Address of Applicant 4 Lakefront Road, Dartmouth Date 7 October 1976

Relationship of Applicant to child Friend

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Gerald ColmenRobinson

Born at Greenwich in the County of Kings

That Gerald ColmenRobinson Whose Birth is sought to be registered was

born at Greenwich Kings County on January 21, 1920

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

School records, extract from marriage

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