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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000289

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Louise HopeChapman Sex Female

Date of Birth December 10, 1921 Place of Birth Head of AmherstCounty of Cumberland

Name of Father Orrin Chapman MAIDEN NAME of Mother Myrtle Edith Finley

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

Residence of Father when child was born Head of Amherst Present address of Father Debert

Occupation of Father at Birth of child Farming Place of birth of Father Chapman Settlement

Race Anglo-Saxon Name and present address of Physician in attendance at birth E.P. Atkinson

Signature of Applicant Myrtle Edith Chapman Address of Applicant Debert Date February 29, 1960

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Louise HopeChapman

Born at Head of Amherst in the County of Cumberland

That Louise HopeChapman Whose Birth is sought to be registered was

born at Head of Amherst Cumberland County on December 10, 1921

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

I am her Mother The name appeared in school register as Hope Louise Chapman in error. It should read Louise Hope Chapman. Myrtle Edith Chapman National Registration

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