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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000011

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth March 2, 1923 Place of Birth Head of JeddoreCounty of Halifax

Name of Father Harvey J. Myers MAIDEN NAME of Mother Grace Osborne

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

Residence of Father when child was born Head Of Jeddore Halifax Co. Ns Present address of Father Head of Jeddore, Halifax Co., NS

Occupation of Father at Birth of child Floor Layer Place of birth of Father Head of Jeddore, Halifax Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Robert S. Myers Address of Applicant 7757 Phelps Avenue, District. 13, Michigan, USA Date 10 August 1946

Relationship of Applicant to child Self

AFFIDAVIT

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

Born at Head of Jeddore in the County of Halifax

That Robert SinclairMyers Whose Birth is sought to be registered was

born at Head of Jeddore Halifax County on March 2, 1923

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

As I am the mother of Robert Myers and do not consider any further explanation necessary.

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