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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000172

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Elizabeth JaneRobinson Sex Female

Date of Birth July 28, 1922 Place of Birth BirchtownCounty of Shelburne

Name of Father Charles Alfred Robinson MAIDEN NAME of Mother Bessie Farmer

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

Residence of Father when child was born Birchtown, Shelburne Present address of Father Deceased

Occupation of Father at Birth of child Cook Place of birth of Father Annapolis Royal

Race Name and present address of Physician in attendance at birth

Signature of Applicant W. Hartley Hopkins Address of Applicant Shelburne Date 31 October 1953

Relationship of Applicant to child None

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Elizabeth JaneRobinson

Born at Birchtown in the County of Shelburne

That Elizabeth JaneRobinson Whose Birth is sought to be registered was

born at Birchtown Shelburne County on July 28, 1922

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

Records in school registers of Birchtown School for 1931 and 1935 - certificate attached. Letter from custodian of National Registration records, attached hereto.

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