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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000070

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Earle ArthurSchaffenburg Sex Male

Date of Birth June 16, 1920 Place of Birth LunenburgCounty of Lunenburg

Name of Father Wallace Schaffenburg MAIDEN NAME of Mother Clara Aulenback

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

Residence of Father when child was born Lunenburg Present address of Father deceased

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

Race English Name and present address of Physician in attendance at birth Dr. A.E.G. Forbes

Signature of Applicant Clara Wilners Address of Applicant Lunenburg Date May 2, 1946

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Earle ArthurSchaffenburg

Born at Lunenburg in the County of Lunenburg

That Earle ArthurSchaffenburg Whose Birth is sought to be registered was

born at Lunenburg Lunenburg County on June 16, 1920

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

I am his Mother and can remember his birth

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