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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000603

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Levina ChristinaSmith Sex Female

Date of Birth March 9, 1922 Place of Birth JogginsCounty of Cumberland

Name of Father Fred Smith MAIDEN NAME of Mother Laura Mae Snowden

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

Residence of Father when child was born Joggins, Cumberland Present address of Father Deceased

Occupation of Father at Birth of child Coal Miner Place of birth of Father Joggins, Cumberland

Race Name and present address of Physician in attendance at birth

Signature of Applicant Laura Smith Address of Applicant River Hebert East, Cumberland Date 20 October 1976

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Levina ChristinaSmith

Born at Joggins in the County of Cumberland

That Levina ChristinaSmith Whose Birth is sought to be registered was

born at Joggins Cumberland County on March 9, 1922

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

I am Levinas mother and I remember her birth and birth date as if it were yesterday.

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