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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000859

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth June 26, 1924 Place of Birth BridgewaterCounty of Lunenburg

Name of Father William Fenwick Adams MAIDEN NAME of Mother Addie Vandella Publicover

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

Residence of Father when child was born Bridgewater Present address of Father deceased

Occupation of Father at Birth of child Chief of Police - Town of Bridgewater Place of birth of Father Dublin Shore

Race Name and present address of Physician in attendance at birth

Signature of Applicant R.C. Adams Address of Applicant Ottawa, Ontario Date 31 December 1986

Relationship of Applicant to child Self

AFFIDAVIT

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

Born at Bridgewater in the County of Lunenburg

That Robert CreightonAdams Whose Birth is sought to be registered was

born at Bridgewater Lunenburg County on June 26, 1924

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

Certificate of Baptism My family

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