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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

66700539

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Robert BernerdThomas Sex Male

Date of Birth October 8, 1919 Place of Birth LouisburgCounty of Cape Breton

Name of Father John Henry Thomas MAIDEN NAME of Mother Mary Ann Campbell

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

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

Occupation of Father at Birth of child Miner Place of birth of Father North Shore, Gabarus

Race Name and present address of Physician in attendance at birth Dr. D.A. Morrison

Signature of Applicant John Henry Thomas Address of Applicant Louisburg Date 14 October 1919

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Robert BernerdThomas

Born at Louisburg in the County of Cape Breton

That Robert BernerdThomas Whose Birth is sought to be registered was

born at Louisburg Cape Breton County on October 8, 1919

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

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