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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

64500034

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Ella RubySmith Sex Female

Date of Birth October 22, 1919 Place of Birth TidnishCounty of Cumberland

Name of Father Blair Beals Smith MAIDEN NAME of Mother Ida May Goodwin

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

Residence of Father when child was born Tidnish Present address of Father

Occupation of Father at Birth of child Farmer Place of birth of Father Tidnish

Race Name and present address of Physician in attendance at birth Dr. E.P. Atkinson

Signature of Applicant Ida May Goodwin Address of Applicant Tidnish Date 11 January 1920

Relationship of Applicant to child mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Ella RubySmith

Born at Tidnish in the County of Cumberland

That Ella RubySmith Whose Birth is sought to be registered was

born at Tidnish Cumberland County on October 22, 1919

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

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