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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000712

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Mabel ElizabethSmith Sex Female

Date of Birth July 15, 1924 Place of Birth WindsorCounty of Hants

Name of Father George Smith MAIDEN NAME of Mother Frances Perks

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

Residence of Father when child was born Windsor, Hants Co., NS Present address of Father Deceased

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

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mabel Smith McDonnell Address of Applicant Windsor, Hants Co., NS Date 7 May 1981

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Mabel ElizabethSmith

Born at Windsor in the County of Hants

That Mabel ElizabethSmith Whose Birth is sought to be registered was

born at Windsor Hants County on July 15, 1924

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

Baptismal

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