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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000289

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Ada MaryRobert Sex Female

Date of Birth July 13, 1922 Place of Birth YarmouthCounty of Yarmouth

Name of Father Inglis Robart MAIDEN NAME of Mother Dora May Brown

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

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

Occupation of Father at Birth of child Labourer Place of birth of Father Yarmouth

Race Name and present address of Physician in attendance at birth

Signature of Applicant Inglis Robart Address of Applicant Yarmouth Date 9 July 1962

Relationship of Applicant to child Father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Ada MaryRobert

Born at Yarmouth in the County of Yarmouth

That Ada MaryRobert Whose Birth is sought to be registered was

born at Yarmouth Yarmouth County on July 13, 1922

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

Family bible (& census report)

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