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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

91600816

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth April 23, 1923 Place of Birth New GlasgowCounty of Pictou

Name of Father Frederick Nelson Fulton MAIDEN NAME of Mother Catherine Christene Cameron

Residence of Father when child was born Merigomish, Pictou Co., NS Present address of Father Merigomish, Pictou Co., NS

Occupation of Father at Birth of child Lumbering Place of birth of Father Castlereigh, Colchester Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Fred N. Fulton Address of Applicant Merigomish, Pictou Co., NS Date 17 October 1942

Relationship of Applicant to child Father

AFFIDAVIT

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

Born at New Glasgow in the County of Pictou

That Robert LawsonFulton Whose Birth is sought to be registered was

born at New Glasgow Pictou County on April 23, 1923

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

I am his father and have full knowledge of all the circumstances

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