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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000673

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Lyle MaySmeltzer Sex Female

Date of Birth February 18, 1923 Place of Birth HalifaxCounty of Halifax

Name of Father   MAIDEN NAME of Mother Irene Smeltzer

Were the Parents married at the time of the Birth? No

Residence of Father when child was born Present address of Father

Occupation of Father at Birth of child Place of birth of Father

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Lyle M. Conrod Address of Applicant 7030 Pearson Drive, Halifax, NS Date 13 September 1978

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Lyle MaySmeltzer

Born at Halifax in the County of Halifax

That Lyle MaySmeltzer Whose Birth is sought to be registered was

born at Halifax Halifax County on February 18, 1923

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

Baptismal certificate

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