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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000597

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Ruth LillianChurch Sex Female

Date of Birth May 5, 1923 Place of Birth Upper VaughanCounty of Halifax

Name of Father Arthur E. Church MAIDEN NAME of Mother Nina Rafuse

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

Residence of Father when child was born Upper Vaughan Hants Co. Ns Present address of Father Upper Vaughan, Hants Co., NS

Occupation of Father at Birth of child Carpenter Place of birth of Father Chester, Lunenburg Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Arthur Church Address of Applicant Upper Vaughan, Hants Co., NS Date 27 August 1947

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Ruth LillianChurch

Born at Upper Vaughan in the County of Halifax

That Ruth LillianChurch Whose Birth is sought to be registered was

born at Upper Vaughan Halifax County on May 5, 1923

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

I am the mother and well remember the occasion. I had supposed this child's birth was registered through the late Dr. Clarence Morris

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