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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100190

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth July 26, 1921 Place of Birth HalifaxCounty of Halifax

Name of Father   MAIDEN NAME of Mother Dorothy Marie Smith

Were the Parents married at the time of the Birth? No

Residence of Father when child was born Present address of Father

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

Race Name and present address of Physician in attendance at birth

Signature of Applicant Ola May Foggoa Address of Applicant 42 Brule St. Dartmouth Date July 8, 1986

Relationship of Applicant to child Myself

AFFIDAVIT

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

Born at Halifax in the County of Halifax

That Ola MaySmith Whose Birth is sought to be registered was

born at Halifax Halifax County on July 26, 1921

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

I only know who my mother was, I have no knowledge of who my father was or any things about him at all. I know I was in an orphanage until the age of four and was taken to live with a family by the name of Brown, whom my mother married whos name was Daniel Brown.

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