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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000014

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth October 12, 1922 Place of Birth Gold RiverCounty of Lunenburg

Name of Father Willilam Johnston MAIDEN NAME of Mother Ola Mosher

Residence of Father when child was born Gold Rover, Lunenburg Present address of Father

Occupation of Father at Birth of child Carpenter Place of birth of Father Hubbards, Lunenburg

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Ola Johnston Address of Applicant Gold Rover, Lunenburg Date 20 April 1946

Relationship of Applicant to child Mother

AFFIDAVIT

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

Born at Gold River in the County of Lunenburg

That Robert ArthurJohnston Whose Birth is sought to be registered was

born at Gold River Lunenburg County on October 12, 1922

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

I am the mother of this man

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