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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

91700979

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Marguerite EleanorScoville Sex Female

Date of Birth April 16, 1922 Place of Birth CentrevilleCounty of Kings

Name of Father Lorn Robert Scoville MAIDEN NAME of Mother Jean Estella Pineo

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

Occupation of Father at Birth of child Place of birth of Father Yarmouth, NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Carlos Pineo Address of Applicant Auburn, Kings Co., NS Date 3 June 1943

Relationship of Applicant to child Uncle

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Marguerite EleanorScoville

Born at Centreville in the County of Kings

That Marguerite EleanorScoville Whose Birth is sought to be registered was

born at Centreville Kings County on April 16, 1922

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

Family record in bible also I was there at time of birth.

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