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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000026

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Douglas MillidgeSchofield Sex Male

Date of Birth April 21, 1921 Place of Birth GreenwichCounty of Kings

Name of Father Harold Sydney Schofield MAIDEN NAME of Mother Myrtle Blanch Davison

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

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

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

Race Anglo-Saxon Name and present address of Physician in attendance at birth Dr. M.R. Elliot

Signature of Applicant Harold Sydney Schofield Address of Applicant Greenwich Date September 24, 1946

Relationship of Applicant to child Father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Douglas MillidgeSchofield

Born at Greenwich in the County of Kings

That Douglas MillidgeSchofield Whose Birth is sought to be registered was

born at Greenwich Kings County on April 21, 1921

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

I am his Father

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