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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000184

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Queenie ElisabethRobinson Sex Female

Date of Birth April 4, 1924 Place of Birth North SydneyCounty of Cape Breton

Name of Father Stephen Robinson MAIDEN NAME of Mother Charlotte LeFrend

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

Residence of Father when child was born North Sydney, Cape Breton Co., NS Present address of Father Deceased

Occupation of Father at Birth of child Engineer Place of birth of Father Newfoundland

Race Name and present address of Physician in attendance at birth

Signature of Applicant Queenie E. Robinson Address of Applicant 81 Charles Street East, Toronto, Ontario Date 31 January 1957

Relationship of Applicant to child Applicant making own application

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Queenie ElisabethRobinson

Born at North Sydney in the County of Cape Breton

That Queenie ElisabethRobinson Whose Birth is sought to be registered was

born at North Sydney Cape Breton County on April 4, 1924

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

Certificate of Baptism annexed hereto

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