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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000894

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of AubreySmith Sex Male

Date of Birth June 18, 1922 Place of Birth SelmahCounty of Hants

Name of Father Harry Smith MAIDEN NAME of Mother Bertha Anthony

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

Residence of Father when child was born Deceased 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 Aubrey Smith Address of Applicant RR #1, Maitland, Hants Date 23 March 1982

Relationship of Applicant to child Self

AFFIDAVIT

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

Born at Selmah in the County of Hants

That AubreySmith Whose Birth is sought to be registered was

born at Selmah Hants County on June 18, 1922

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

Register of Selma School Section No. 31, Commissioners District of East Hants, County of Hants for the school year ending July 1931. Aubrey Smith - age on 30th of June, 1931 - 9 years, 0 months, 12 days.

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