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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

64500175

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Isobel HazenChapman Sex Female

Date of Birth December 7, 1919 Place of Birth AmherstCounty of Cumberland

Name of Father C.G.M. Chapman MAIDEN NAME of Mother Laura Beatrice Mealey

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

Residence of Father when child was born Amherst/Dorchester, NB Present address of Father

Occupation of Father at Birth of child Place of birth of Father Dorchester, NB

Race Name and present address of Physician in attendance at birth Dr. A.E. MacKintosh

Signature of Applicant C.G.M. Chapman Address of Applicant Amherst/Dorchester, NB Date 10 January 1920

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Isobel HazenChapman

Born at Amherst in the County of Cumberland

That Isobel HazenChapman Whose Birth is sought to be registered was

born at Amherst Cumberland County on December 7, 1919

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

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