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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

92000143

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Robert WilliamSchnare Sex Male

Date of Birth April 16, 1922 Place of Birth HalifaxCounty of Halifax

Name of Father Charles Bernard Schnare MAIDEN NAME of Mother Mae Hurshman

Residence of Father when child was born Halifax, NS Present address of Father Halifax, NS

Occupation of Father at Birth of child Welders Helper at Halifax Shipyards Place of birth of Father Halifax, NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Mae Schnare Address of Applicant 222 Maynard Street, Halifax, NS Date 28 March 1942

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Robert WilliamSchnare

Born at Halifax in the County of Halifax

That Robert WilliamSchnare Whose Birth is sought to be registered was

born at Halifax Halifax County on April 16, 1922

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

I am his mother

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