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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000418

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Elsie EvelynDavis Sex Female

Date of Birth November 1, 1924 Place of Birth DeerfieldCounty of Yarmouth

Name of Father Richard Davis MAIDEN NAME of Mother Belle Rhyno

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

Residence of Father when child was born Deerfield, Yarmouth Co., NS Present address of Father Deceased

Occupation of Father at Birth of child Farmer Place of birth of Father Shelburne Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Alvin Smith Address of Applicant RR #2, Box 950, Yarmouth, NS Date 14 February 1974

Relationship of Applicant to child Same

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Elsie EvelynDavis

Born at Deerfield in the County of Yarmouth

That Elsie EvelynDavis Whose Birth is sought to be registered was

born at Deerfield Yarmouth County on November 1, 1924

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

An abstract from the Deerfield School Register contains the following: Elsie Evelyn Davis, age on June 30th, 1932 was 7 years, 7 months and 29 days. A statement from sister showing that I was present at the time of birth with Doctor Hawkins - Mrs. Dorothy Saulnier

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