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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000882

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Evelyn IreneSmith Sex Female

Date of Birth May 14, 1920 Place of Birth CambridgeCounty of Halifax

Name of Father Major Ainslie Smith MAIDEN NAME of Mother Mary Hestella Starratt

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

Residence of Father when child was born Cambridge Present address of Father dead

Occupation of Father at Birth of child Farmer Place of birth of Father Cambridge

Race Name and present address of Physician in attendance at birth

Signature of Applicant Evelyn Irene Address of Applicant Rafuse Date January 9, 1978

Relationship of Applicant to child self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Evelyn IreneSmith

Born at Cambridge in the County of Halifax

That Evelyn IreneSmith Whose Birth is sought to be registered was

born at Cambridge Halifax County on May 14, 1920

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

1. I am the said Evelyn Irene Smith 2. Report from Statistics Canada showing age in June 1, 1931 and June 1, 1941 3. Bible belonging to my mother Mary Hestella Smith

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