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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000101

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Donald Edward DeweySmith Sex Male

Date of Birth March 24, 1923 Place of Birth YarmouthCounty of Yarmouth

Name of Father Charles Nathan Morton Smith MAIDEN NAME of Mother Maude Estella McKinnon

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

Residence of Father when child was born Yarmouth Ns Present address of Father Yarmouth, NS

Occupation of Father at Birth of child Labourer Place of birth of Father Birchtown, Shelburne Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Charles N. M. Smith Address of Applicant Yarmouth, NS Date 1 November 1949

Relationship of Applicant to child Father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Donald Edward DeweySmith

Born at Yarmouth in the County of Yarmouth

That Donald Edward DeweySmith Whose Birth is sought to be registered was

born at Yarmouth Yarmouth County on March 24, 1923

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

My knowledge of my son's birth is taken from the family bible and my own knowledge of his birth. I was at home at the time of birth. I have examined the family bible and find the date corresponds with the date given above. The record of birth has every indication of having been made at the time of birth.

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