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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100268

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Stanley EdwardSmith Sex Male

Date of Birth January 3, 1920 Place of Birth SambroCounty of Halifax

Name of Father Percy Smith MAIDEN NAME of Mother Sarah Eleanor  Findley

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

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

Occupation of Father at Birth of child fisherman Place of birth of Father Sambro

Race Name and present address of Physician in attendance at birth

Signature of Applicant Stanley E. Smith Address of Applicant Sambro Date 18 July 1984

Relationship of Applicant to child self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Stanley EdwardSmith

Born at Sambro in the County of Halifax

That Stanley EdwardSmith Whose Birth is sought to be registered was

born at Sambro Halifax County on January 3, 1920

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

baptism

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