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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000396

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Edith BlanchSchofield Sex Female

Date of Birth January 26, 1921 Place of Birth White RockCounty of Kings

Name of Father Archibald Schofield MAIDEN NAME of Mother Eva Corkum

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

Residence of Father when child was born White Rock Present address of Father deceased

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

Race English Name and present address of Physician in attendance at birth Dr. Malcom Elliott

Signature of Applicant Eva B. Schofield Address of Applicant White Rock Date November 12, 1968

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Edith BlanchSchofield

Born at White Rock in the County of Kings

That Edith BlanchSchofield Whose Birth is sought to be registered was

born at White Rock Kings County on January 26, 1921

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

School records of Gaspereau Valley School, Gaspereau, Kings N.S.

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