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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000512

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Thelma VaneeraDavid Sex Female

Date of Birth September 25, 1922 Place of Birth Hammonds PlainsCounty of Halifax

Name of Father Arthur David MAIDEN NAME of Mother Lauretta Christina Amelia Mitchell

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

Residence of Father when child was born Hammonds Plains, Halifax Present address of Father Deceased

Occupation of Father at Birth of child Cooper Place of birth of Father Hammonds Plains, Halifax

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Nathan Smith Address of Applicant 48 Barnard Street, Yarmouth Date 18 June 1974

Relationship of Applicant to child Same

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Thelma VaneeraDavid

Born at Hammonds Plains in the County of Halifax

That Thelma VaneeraDavid Whose Birth is sought to be registered was

born at Hammonds Plains Halifax County on September 25, 1922

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

Marriage License. A school record shows Falmer David (a family name) as of June 30th, 1935 (12 years, 9 months and 5 days). An abstract from National Registration records shows date of birth as September 23, 1922, an error of 2 days. A copy of will (Arthur David) showing his daughters name as Thelma David. A life insurance policy showing date of birth as September 25, 1922 (Thelma V. Smith)

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