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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000606

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Ruby GwendolineSchofield Sex

Date of Birth June 18, 1920 Place of Birth KentvilleCounty of Kings

Name of Father Charles Schofield MAIDEN NAME of Mother Laura Spencer

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

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

Occupation of Father at Birth of child Carpenter Place of birth of Father Kentville

Race Anglo-Saxon Name and present address of Physician in attendance at birth Dr. J.P. McGrath

Signature of Applicant Ruby Gwendoline Salsman Address of Applicant Kentville Date August 23, 1972

Relationship of Applicant to child Self

AFFIDAVIT

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

Born at Kentville in the County of Kings

That Ruby GwendolineSchofield Whose Birth is sought to be registered was

born at Kentville Kings County on June 18, 1920

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

I am the said person although I have always gone by the name Gwendolyn Elizabeth and I am now the wife of William Salsman.

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