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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

41200245

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Hazel MagearethSchoester Sex Female

Date of Birth November 14, 1919 Place of Birth HalifaxCounty of Halifax

Name of Father Herman Schoester MAIDEN NAME of Mother Jessie Leonard

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

Residence of Father when child was born Halifax Present address of Father 10 North Park St.

Occupation of Father at Birth of child Painter Place of birth of Father Wageningen, Holland

Race Name and present address of Physician in attendance at birth Dr. Buckley

Signature of Applicant Herman Schoester Address of Applicant 10 North Park St. Date 14 November 1919

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Hazel MagearethSchoester

Born at Halifax in the County of Halifax

That Hazel MagearethSchoester Whose Birth is sought to be registered was

born at Halifax Halifax County on November 14, 1919

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

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