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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

93300607

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Emma MunroVaughan Sex Female

Date of Birth November 17, 1906 Place of Birth SummervilleCounty of Hants

Name of Father Otis Vaughan MAIDEN NAME of Mother Phebe Marsters

Residence of Father when child was born Summerville Present address of Father Summerville

Occupation of Father at Birth of child Farmer Place of birth of Father Newport

Race white Name and present address of Physician in attendance at birth Ernest F. Moore

Signature of Applicant Phebe Vaughan Address of Applicant Summerville Date 18 November 1925

Relationship of Applicant to child mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Emma MunroVaughan

Born at Summerville in the County of Hants

That Emma MunroVaughan Whose Birth is sought to be registered was

born at Summerville Hants County on November 17, 1906

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

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