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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

64500009

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Ethel MaySmith Sex Female

Date of Birth October 8, 1919 Place of Birth AmherstCounty of Cumberland

Name of Father Albert Henry Smith MAIDEN NAME of Mother Maud Walker

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

Residence of Father when child was born Amherst Present address of Father 7 Alma St.

Occupation of Father at Birth of child Soldier Place of birth of Father Plymouth, England

Race Name and present address of Physician in attendance at birth Dr. B. Goodwin

Signature of Applicant Albert H. Smith Address of Applicant 7 Alma St. Date 14 January 1920

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Ethel MaySmith

Born at Amherst in the County of Cumberland

That Ethel MaySmith Whose Birth is sought to be registered was

born at Amherst Cumberland County on October 8, 1919

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

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