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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000115

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Harry FisherSmith Sex Male

Date of Birth February 27, 1920 Place of Birth AvondaleCounty of Pictou

Name of Father Walter Smith MAIDEN NAME of Mother Clara Fisher

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

Residence of Father when child was born Avondale, Pictou Co. Present address of Father Avondale, Pictou Co.

Occupation of Father at Birth of child Farmer Place of birth of Father Smithfield, Guysborough Co.

Race White Name and present address of Physician in attendance at birth Mrs. Margaret McPhee

Signature of Applicant Mrs. Walter Smith Address of Applicant Avondale, Pictou Co. Date 20 November 1945

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Harry FisherSmith

Born at Avondale in the County of Pictou

That Harry FisherSmith Whose Birth is sought to be registered was

born at Avondale Pictou County on February 27, 1920

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

The family was living with me at that time (see affidavit attached)

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