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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000425

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Ruby MarquriteSchofield Sex Female

Date of Birth May 2, 1920 Place of Birth White RockCounty of Kings

Name of Father Milford Ralph Schofield MAIDEN NAME of Mother Leta Vesta Schofield

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

Residence of Father when child was born White Rock Present address of Father White Rock

Occupation of Father at Birth of child Farmer Place of birth of Father White Rock

Race English Name and present address of Physician in attendance at birth no physician

Signature of Applicant Leta Schofield Address of Applicant White Rock Date January 20, 1966

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Ruby MarquriteSchofield

Born at White Rock in the County of Kings

That Ruby MarquriteSchofield Whose Birth is sought to be registered was

born at White Rock Kings County on May 2, 1920

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

I am her mother

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