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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000061

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of William CalvinSmith Sex Male

Date of Birth March 30, 1923 Place of Birth SydneyCounty of Cape Breton

Name of Father Harvey Smith MAIDEN NAME of Mother Isaline Rowe

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

Residence of Father when child was born Henry Street Sydney Cape Breton Co. Ns Present address of Father 257 St. Peter's Road, Sydney, Cape Breton Co., NS

Occupation of Father at Birth of child Steel Worker Place of birth of Father Blaketown, Newfoundland

Race Name and present address of Physician in attendance at birth

Signature of Applicant Ronald Francis Smith Address of Applicant 257 St. Peter's Road, Sydney, Cape Breton Co., NS Date 6 November 1947

Relationship of Applicant to child Older Brother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of William CalvinSmith

Born at Sydney in the County of Cape Breton

That William CalvinSmith Whose Birth is sought to be registered was

born at Sydney Cape Breton County on March 30, 1923

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

That at the time of his birth I was six years of age and as I was living at home and I remember very well his birth.

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