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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000218

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth March 24, 1922 Place of Birth CullodenCounty of Digby

Name of Father Arthur Joseph Hersey MAIDEN NAME of Mother Vesta Seraph VanTassel

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

Residence of Father when child was born Culloden, Digby Present address of Father Culloden, Digby

Occupation of Father at Birth of child Fishing Place of birth of Father White Cove, Digby Neck

Race Name and present address of Physician in attendance at birth

Signature of Applicant Vesta Seraph Hersey Address of Applicant Culloden, Digby Date 25 August 1956

Relationship of Applicant to child Mother

AFFIDAVIT

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

Born at Culloden in the County of Digby

That Robert MartinHersey Whose Birth is sought to be registered was

born at Culloden Digby County on March 24, 1922

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

That I am his mother and remember the date and also I recorded his date of birth on a paper with the date of birth of my other children. (marriage record, National Registration record)

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