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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000835

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Chester BlakeWard Sex Male

Date of Birth May 18, 1920 Place of Birth North AltonCounty of Kings

Name of Father Rufus Porter Ward MAIDEN NAME of Mother Lalia Lee Chase

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

Residence of Father when child was born North Alton, Kings Co. Present address of Father deceased

Occupation of Father at Birth of child Farmer Place of birth of Father North Alton, Kings Co.

Race Name and present address of Physician in attendance at birth

Signature of Applicant Esther Irene Ward Address of Applicant North Alton, Kings Co. Date 4 May 1977

Relationship of Applicant to child Wife

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Chester BlakeWard

Born at North Alton in the County of Kings

That Chester BlakeWard Whose Birth is sought to be registered was

born at North Alton Kings County on May 18, 1920

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

School records & clipping from family bible

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