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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100252

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of RobertRobinson Sex Male

Date of Birth January 9, 1920 Place of Birth HalifaxCounty of Halifax

Name of Father Joseph Robinson MAIDEN NAME of Mother Annie Quinn

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

Residence of Father when child was born Sonora, Guysborough Present address of Father deceased

Occupation of Father at Birth of child tug boat captain Place of birth of Father

Race Name and present address of Physician in attendance at birth A.I Mader

Signature of Applicant Helen Kirk Address of Applicant 5650 South St., Halifax Date 13 Apr 1984

Relationship of Applicant to child daughter

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of RobertRobinson

Born at Halifax in the County of Halifax

That RobertRobinson Whose Birth is sought to be registered was

born at Halifax Halifax County on January 9, 1920

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

census, national registration, doctor's notice of birth

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