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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

91400063

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth September 2, 1923 Place of Birth TruroCounty of Colchester

Name of Father George Robert Bartlett MAIDEN NAME of Mother Alice May Bartlett

Residence of Father when child was born RR #2, Bible Hill, Truro, Colchester Co., NS Present address of Father RR #2, Bible Hill, Truro, Colchester Co., NS

Occupation of Father at Birth of child Farmer Place of birth of Father RR #2, Bible Hill, Truro, Colchester Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Alice Bartlett Address of Applicant RR #2, Bible Hill, Truro, Colchester Co., NS Date 17 March 1941

Relationship of Applicant to child Mother

AFFIDAVIT

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

Born at Truro in the County of Colchester

That Robert HaroldBartlett Whose Birth is sought to be registered was

born at Truro Colchester County on September 2, 1923

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

I am the mother of the person sought to be registered.

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