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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100020

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth January 21, 1921 Place of Birth New RossCounty of Lunenburg

Name of Father Edward Reeves MAIDEN NAME of Mother Ella M. Veinot

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

Residence of Father when child was born New Ross Present address of Father deceased

Occupation of Father at Birth of child Farmer Place of birth of Father New Ross

Race Name and present address of Physician in attendance at birth

Signature of Applicant Robert S. Reeves Address of Applicant RR2 New Ross Date July 23, 1983

Relationship of Applicant to child Self

AFFIDAVIT

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

Born at New Ross in the County of Lunenburg

That Robert StewartReeves Whose Birth is sought to be registered was

born at New Ross Lunenburg County on January 21, 1921

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

Record of Baptism - Church Records Item c - Class A Evidence

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