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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

93602519

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Esther AnnSmith Sex Female

Date of Birth June 16, 1906 Place of Birth North SydneyCounty of Cape Breton

Name of Father Thomas H. Smith MAIDEN NAME of Mother Maude Phoran

Residence of Father when child was born North Sydney Present address of Father North Sydney

Occupation of Father at Birth of child Medical Doctor Place of birth of Father Newfoundland

Race British Name and present address of Physician in attendance at birth Dr. J.W. McLean

Signature of Applicant Thomas H. Smith Address of Applicant North Sydney Date 15 September 1926

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Esther AnnSmith

Born at North Sydney in the County of Cape Breton

That Esther AnnSmith Whose Birth is sought to be registered was

born at North Sydney Cape Breton County on June 16, 1906

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

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