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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

90600272

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Helen ElaineSmith Sex Female

Date of Birth June 26, 1920 Place of Birth HalifaxCounty of Halifax

Name of Father James Francis Smith MAIDEN NAME of Mother Annie Louise Yeadon

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

Residence of Father when child was born Armdale, Halifax Present address of Father Halifax

Occupation of Father at Birth of child Boiler House Worker, Imperial Oil Ltd. Place of birth of Father Sambro, Halifax Co.

Race English Name and present address of Physician in attendance at birth M. A. MacAulay

Signature of Applicant Mrs. Annie Louise Smith Address of Applicant Halifax Date 5 July 1933

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Helen ElaineSmith

Born at Halifax in the County of Halifax

That Helen ElaineSmith Whose Birth is sought to be registered was

born at Halifax Halifax County on June 26, 1920

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

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