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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000453

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth June 16, 1923 Place of Birth ChegogginCounty of Yarmouth

Name of Father Wilbur E. Lyons MAIDEN NAME of Mother Lula P. MacGray

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

Residence of Father when child was born Chegoggin Yarmouth Co. Ns Present address of Father Box 3600, RR #3, Yarmouth, NS

Occupation of Father at Birth of child Farmer Place of birth of Father Pembroke, Yarmouth Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Wilbur E. Lyons Address of Applicant Box 3600, RR #3, Yarmouth, NS Date 29 November 1972

Relationship of Applicant to child Father

AFFIDAVIT

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

Born at Chegoggin in the County of Yarmouth

That Robert MacGrayLyons Whose Birth is sought to be registered was

born at Chegoggin Yarmouth County on June 16, 1923

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

An abstract as taken from South Chegoggin School Register shows Robert MacGray Lyons, age on June 30th, 1935 as 12 years, 0 months, 14 days. (Parent Wilbur Lyons). An honorable Release (Certificate of Service) shows Robert McGray Lyons as date of birth 16 June 1923. This certificate issued 15 May 1972.

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