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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000608

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Freda MarySmith Sex Female

Date of Birth July 17, 1923 Place of Birth Tidnish RiverCounty of Cumberland

Name of Father John Smith MAIDEN NAME of Mother Catherine Brine

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

Residence of Father when child was born Amherst Cumberland Co. Ns Present address of Father Deceased

Occupation of Father at Birth of child Farmer Place of birth of Father Birmingham, England

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Freda Mary Sharpe Address of Applicant 59 Ardglen Drive, Apt. 80, Brampton, Ontario Date 15 June 1977

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Freda MarySmith

Born at Tidnish River in the County of Cumberland

That Freda MarySmith Whose Birth is sought to be registered was

born at Tidnish River Cumberland County on July 17, 1923

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

Certificate of birth and baptism from Rev. G. L. David, Parish Priest, dated February 22nd, 1977

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