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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000895

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Leamert CharlesRobar Sex Male

Date of Birth July 9, 1921 Place of Birth North RiverCounty of Lunenburg

Name of Father Ray Wilfred Robar MAIDEN NAME of Mother Mabel Gertrude Robar

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

Residence of Father when child was born North River Present address of Father Toronto, Ontario

Occupation of Father at Birth of child Woodworker Place of birth of Father North River

Race Name and present address of Physician in attendance at birth

Signature of Applicant Leamert C. Robar Address of Applicant RR1 Barss Corner Date May 21, 1980

Relationship of Applicant to child The applicant is the person

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Leamert CharlesRobar

Born at North River in the County of Lunenburg

That Leamert CharlesRobar Whose Birth is sought to be registered was

born at North River Lunenburg County on July 9, 1921

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

Leamert Charles Robar is my nephew and was born in the home in which I was then residing. I was then about Fourteen (14) years old. Attache is a notarized copy of a Certificate of Baptism relating to said Leamert Charles Robar. Though it states his name to be Charles Leamert Robar. It in fact referes to my nephew, Leamert Charles Robar.

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