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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

93602281

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Evelyn ElizabethSchofield Sex Female

Date of Birth April 27, 1906 Place of Birth KentvilleCounty of Kings

Name of Father Charles Schofield MAIDEN NAME of Mother Laura Spencer

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

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

Race English Name and present address of Physician in attendance at birth Dr. W.S. Woodworth

Signature of Applicant Laura Schofield Address of Applicant Kentville Date 20 May 1926

Relationship of Applicant to child mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Evelyn ElizabethSchofield

Born at Kentville in the County of Kings

That Evelyn ElizabethSchofield Whose Birth is sought to be registered was

born at Kentville Kings County on April 27, 1906

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

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