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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100021

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Thelma LillianSmith Sex Female

Date of Birth March 26, 1920 Place of Birth Harmony MillsCounty of Queens

Name of Father Earl Smith MAIDEN NAME of Mother Annie Thomas

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

Residence of Father when child was born Harmony Mills Present address of Father deceased

Occupation of Father at Birth of child Building engineer Place of birth of Father Harmony Mills

Race Name and present address of Physician in attendance at birth

Signature of Applicant Thelma Lillian Smith Landry Address of Applicant Dalhousei, New Brunswick Date August 29, 1979

Relationship of Applicant to child self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Thelma LillianSmith

Born at Harmony Mills in the County of Queens

That Thelma LillianSmith Whose Birth is sought to be registered was

born at Harmony Mills Queens County on March 26, 1920

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

My parents always told me I was born at Harmony Mills on March 26, 1920. It has always been common knowledge in the entire family - my birth was also registered at the old Baptist church in Harmony Mills which is now burnt as so are the records.

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