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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000156

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Lloyd FrancisSmith Sex Male

Date of Birth September 8, 1924 Place of Birth ArmdaleCounty of Halifax

Name of Father James Francis Smith MAIDEN NAME of Mother Annie Louise Yeadon

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

Residence of Father when child was born Armdale, Halifax Co., NS Present address of Father Deceased

Occupation of Father at Birth of child Labourer at Imperial Oil Co. Place of birth of Father Sambro, Halifax Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Annie L. Smith Address of Applicant Box 162, Armdale PO, Halifax Co., NS Date 13 July 1953

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Lloyd FrancisSmith

Born at Armdale in the County of Halifax

That Lloyd FrancisSmith Whose Birth is sought to be registered was

born at Armdale Halifax County on September 8, 1924

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

I am the mother of said Lloyd Francis Smith Record of birth is stored in family bible (p. 595) at present in my possession (baptism record)

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