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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000271

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Mabel JosephineSchofield Sex Female

Date of Birth July 12, 1924 Place of Birth East Hall's HarbourCounty of Kings

Name of Father Milford Schofield MAIDEN NAME of Mother May (or Mae) Fraser

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

Residence of Father when child was born East Hall's Harbour, Kings Co., NS Present address of Father East Hall's Harbour, Kings Co., NS

Occupation of Father at Birth of child Farmer Place of birth of Father Scots Bay Road, Kings Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Mabel J. Baker Address of Applicant 3020 Barnett Highway, Port Coquitlam, British Columbia Date 21 April 1964

Relationship of Applicant to child Applicant

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Mabel JosephineSchofield

Born at East Hall's Harbour in the County of Kings

That Mabel JosephineSchofield Whose Birth is sought to be registered was

born at East Hall's Harbour Kings County on July 12, 1924

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

I am the mother of said Mabel Josephine Schofield and clearly remember said time and event

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