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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

93300476

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Lilla VioletSmith Sex Female

Date of Birth December 1, 1906 Place of Birth ParrsboroCounty of Cumberland

Name of Father Allan P. Smith MAIDEN NAME of Mother Effie Morris

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

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

Race English Name and present address of Physician in attendance at birth Dr. Corbette

Signature of Applicant Effie Smith Address of Applicant Parrsboro Date 2 December 1925

Relationship of Applicant to child mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Lilla VioletSmith

Born at Parrsboro in the County of Cumberland

That Lilla VioletSmith Whose Birth is sought to be registered was

born at Parrsboro Cumberland County on December 1, 1906

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

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