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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

64500198

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Dorothy ChristinaRobinson Sex Female

Date of Birth December 1, 1919 Place of Birth NorthportCounty of Cumberland

Name of Father Ralph Archibald Robinson MAIDEN NAME of Mother Verlie Kathleen Brooks

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

Residence of Father when child was born Northport Present address of Father

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

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

Signature of Applicant Ralph Archibald Robinson Address of Applicant Northport Date 12 January 1920

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Dorothy ChristinaRobinson

Born at Northport in the County of Cumberland

That Dorothy ChristinaRobinson Whose Birth is sought to be registered was

born at Northport Cumberland County on December 1, 1919

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

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