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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000218

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Ronald MosesChiasson Sex Male

Date of Birth March 27, 1921 Place of Birth Reserve MineCounty of Cape Breton

Name of Father Claude S. Chiasson MAIDEN NAME of Mother Marie H. Chiasson

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

Residence of Father when child was born Reserve Mines Present address of Father New Victoria

Occupation of Father at Birth of child Miner Place of birth of Father Cheticamp

Race White Name and present address of Physician in attendance at birth Dr. C.J. Sparrow

Signature of Applicant Mrs. Marie Ann Chiasson Address of Applicant New Victoria Date March 12, 1956

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Ronald MosesChiasson

Born at Reserve Mine in the County of Cape Breton

That Ronald MosesChiasson Whose Birth is sought to be registered was

born at Reserve Mine Cape Breton County on March 27, 1921

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

I am the mother Ronald Moses Chiasson I recall most vividly the date of his birth. I also recall the date of his Baptism and his entering school.

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