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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

66700454

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Annie ChristenaRobison Sex Female

Date of Birth October 31, 1919 Place of Birth Sydney ForksCounty of Cape Breton

Name of Father Angus Robison MAIDEN NAME of Mother Kate Robison

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

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

Occupation of Father at Birth of child Farming Place of birth of Father New Boston, CB

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

Signature of Applicant Angus Robison Address of Applicant Sydney Forks Date 10 November 1919

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Annie ChristenaRobison

Born at Sydney Forks in the County of Cape Breton

That Annie ChristenaRobison Whose Birth is sought to be registered was

born at Sydney Forks Cape Breton County on October 31, 1919

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

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