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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000348

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Olive MatildaSmith Sex Female

Date of Birth July 21, 1923 Place of Birth North ChegogginCounty of Yarmouth

Name of Father Richard Smith MAIDEN NAME of Mother Jennie E. Crosby

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

Residence of Father when child was born North Chegoggin Yarmouth Co. Ns Present address of Father Deceased

Occupation of Father at Birth of child Fisherman Place of birth of Father Chegoggin, Yarmouth Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Jennie E. Smith Address of Applicant Hebron, Yarmouth Co., NS Date 19 December 1968

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Olive MatildaSmith

Born at North Chegoggin in the County of Yarmouth

That Olive MatildaSmith Whose Birth is sought to be registered was

born at North Chegoggin Yarmouth County on July 21, 1923

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

An abstract from the North Chegoggin School Register shows that Olive Matilda Smith's age on June 30, 1933 was 9 years, 11 months, 9 days. An abstract from the bible which shows Olive Matilda Smith as born July 21st, 1923.

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