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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000004

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Robson DouglasRoss Sex Male

Date of Birth December 17, 1922 Place of Birth InvernessCounty of Inverness

Name of Father Alexander F. Ross MAIDEN NAME of Mother Mary Campbell

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

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

Occupation of Father at Birth of child Master Mechanic, Inverness Coal Mine Place of birth of Father Thorburn, Pictou

Race Name and present address of Physician in attendance at birth

Signature of Applicant Alexander F. Ross Address of Applicant PO Box 951, Pictou Date 15 March 1947

Relationship of Applicant to child Father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Robson DouglasRoss

Born at Inverness in the County of Inverness

That Robson DouglasRoss Whose Birth is sought to be registered was

born at Inverness Inverness County on December 17, 1922

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

I am his father

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