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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000154

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Chesley LouisPeach Sex Male

Date of Birth July 30, 1921 Place of Birth Kearney LakeCounty of Halifax

Name of Father William Joseph Peach MAIDEN NAME of Mother Elizabeth Young

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

Residence of Father when child was born Kearney Lake Present address of Father dead

Occupation of Father at Birth of child Labourer Place of birth of Father Halifax

Race White Name and present address of Physician in attendance at birth Dr. Hawkins

Signature of Applicant Elizabeth Peach Address of Applicant Cusack St. Woodside Date December 4, 1951

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Chesley LouisPeach

Born at Kearney Lake in the County of Halifax

That Chesley LouisPeach Whose Birth is sought to be registered was

born at Kearney Lake Halifax County on July 30, 1921

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

I am his Mother and well remember the Date of birth (Baptism certificate)

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