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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000970

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Thomas ElmerSmith Sex Male

Date of Birth February 17, 1920 Place of Birth PlymouthCounty of Pictou

Name of Father Joseph Smith MAIDEN NAME of Mother Emily  Best

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

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

Occupation of Father at Birth of child Railroad worker Place of birth of Father Bolton, England

Race Name and present address of Physician in attendance at birth

Signature of Applicant Thomas E. Smith Address of Applicant East Hamilton Date February 23, 1979

Relationship of Applicant to child same

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Thomas ElmerSmith

Born at Plymouth in the County of Pictou

That Thomas ElmerSmith Whose Birth is sought to be registered was

born at Plymouth Pictou County on February 17, 1920

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

I have been associated with the Smith family in Stellarton since 1917 and I have known the applicant since he was a child. - Henry Barclay

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