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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000601

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Lenora IreneMansfield Sex Female

Date of Birth October 26, 1923 Place of Birth WestfieldCounty of Queens

Name of Father Judson Henry Mansfield MAIDEN NAME of Mother Iris Idella Frayle

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

Residence of Father when child was born Westfield Queens Co. Ns Present address of Father Deceased

Occupation of Father at Birth of child Labourer Place of birth of Father Westfield, Queens Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant George Mansfield Address of Applicant Box 110, RR #5, Trailer City, Bridgewater, Lunenburg Co., NS Date 17 May 1977

Relationship of Applicant to child 1st cousin

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Lenora IreneMansfield

Born at Westfield in the County of Queens

That Lenora IreneMansfield Whose Birth is sought to be registered was

born at Westfield Queens County on October 26, 1923

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

Family bible Marriage extract

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