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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

64500044

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth October 15, 1919 Place of Birth Little RiverCounty of Cumberland

Name of Father Robert William Dobson MAIDEN NAME of Mother Margaret May Ettinger

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

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

Occupation of Father at Birth of child Farmer Place of birth of Father Mansfield

Race Name and present address of Physician in attendance at birth Dr. Gilroy

Signature of Applicant Margaret May Dobson Address of Applicant Little River Date 10 November 1919

Relationship of Applicant to child mother

AFFIDAVIT

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

Born at Little River in the County of Cumberland

That HarryDobson Whose Birth is sought to be registered was

born at Little River Cumberland County on October 15, 1919

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

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