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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

64500176

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Hilda AmeliaSmith Sex Female

Date of Birth December 7, 1919 Place of Birth AmherstCounty of Cumberland

Name of Father Charles James Smith MAIDEN NAME of Mother Alice Amelia Trenholm

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

Residence of Father when child was born Amherst Present address of Father 16 Rotchford St.

Occupation of Father at Birth of child Stone cutter Place of birth of Father Shiminicas

Race Name and present address of Physician in attendance at birth Dr. F.E. Boudreau

Signature of Applicant Alice Amelia Smith Address of Applicant Amherst Date 10 January 1920

Relationship of Applicant to child mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Hilda AmeliaSmith

Born at Amherst in the County of Cumberland

That Hilda AmeliaSmith Whose Birth is sought to be registered was

born at Amherst Cumberland County on December 7, 1919

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

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