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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000054

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of George WalkerSmith Sex Male

Date of Birth June 29, 1924 Place of Birth Sydney MinesCounty of Cape Breton

Name of Father George Alexander Smith MAIDEN NAME of Mother Lydia Ethel Rice

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

Residence of Father when child was born Sydney Mines, Cape Breton Co., NS Present address of Father Sydney Mines, Cape Breton Co., NS

Occupation of Father at Birth of child Jeweller Place of birth of Father Guelph, Ontario

Race Name and present address of Physician in attendance at birth

Signature of Applicant George A. Smith Address of Applicant Sydney Mines, Cape Breton Co., NS Date 17 April 1946

Relationship of Applicant to child Father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of George WalkerSmith

Born at Sydney Mines in the County of Cape Breton

That George WalkerSmith Whose Birth is sought to be registered was

born at Sydney Mines Cape Breton County on June 29, 1924

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

He was born in house I am now living in and I was at home at time of birth

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