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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000856

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of RuthSmith Sex Female

Date of Birth September 6, 1922 Place of Birth HalifaxCounty of Halifax

Name of Father Demus Smith MAIDEN NAME of Mother Susanna Bundy

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

Residence of Father when child was born New Road, Halifax Present address of Father Deceased

Occupation of Father at Birth of child Farmer Place of birth of Father New Road, Halifax

Race Name and present address of Physician in attendance at birth

Signature of Applicant Ruth Williams Address of Applicant Box 2403, Dartmouth East, Halifax Date 1 September 1981

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of RuthSmith

Born at Halifax in the County of Halifax

That RuthSmith Whose Birth is sought to be registered was

born at Halifax Halifax County on September 6, 1922

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

Census records National registration

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