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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

92000218

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Frances BemisterSmith Sex Female

Date of Birth November 30, 1921 Place of Birth Eastern PassageCounty of Halifax

Name of Father Frank Smith MAIDEN NAME of Mother Emily Ghent

Residence of Father when child was born Eastern Passage, Halifax Co., NS Present address of Father Dartmouth, Halifax Co., NS

Occupation of Father at Birth of child Iron worker Place of birth of Father Newfoundland

Race Name and present address of Physician in attendance at birth

Signature of Applicant Emily Smith Address of Applicant 101 Hawthorne Street, Dartmouth, NS Date 20 August 1941

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Frances BemisterSmith

Born at Eastern Passage in the County of Halifax

That Frances BemisterSmith Whose Birth is sought to be registered was

born at Eastern Passage Halifax County on November 30, 1921

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

I am her mother and well remember said date

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