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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000992

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Jennie LauraVaughan Sex Female

Date of Birth March 1, 1923 Place of Birth GreenfieldCounty of Kings

Name of Father Woodbury David Vaughan MAIDEN NAME of Mother Laura May Schofield

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

Residence of Father when child was born Greenfield Kings Co. Ns Present address of Father Deceased

Occupation of Father at Birth of child Farmer Place of birth of Father Greenfield, Kings Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Jennie Laura Cormier Address of Applicant 107 Wood Street East, Hamilton, Ontario, L8L 3Y6 Date 11 May 1987

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Jennie LauraVaughan

Born at Greenfield in the County of Kings

That Jennie LauraVaughan Whose Birth is sought to be registered was

born at Greenfield Kings County on March 1, 1923

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

Page from old family bible which I am enclosing a copy. Also school pictures.

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