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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

41200163

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Melva JoyceSmythe Sex Female

Date of Birth October 29, 1919 Place of Birth HalifaxCounty of Halifax

Name of Father Alvon Evens Smythe MAIDEN NAME of Mother Maude Smith

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

Residence of Father when child was born Halifax Present address of Father 74 Gerrish St.

Occupation of Father at Birth of child Carpenter Place of birth of Father Parrsboro

Race Name and present address of Physician in attendance at birth D.R.C. Morton

Signature of Applicant Alvin Evens Smith Address of Applicant 74 Gerrish St. Date 31 October 1919

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Melva JoyceSmythe

Born at Halifax in the County of Halifax

That Melva JoyceSmythe Whose Birth is sought to be registered was

born at Halifax Halifax County on October 29, 1919

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

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