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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000359

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of MargaretChiasson Sex Female

Date of Birth September 13, 1921 Place of Birth InvernessCounty of Inverness

Name of Father Patrick D. Chiasson MAIDEN NAME of Mother Mary Ellen Gallant

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

Residence of Father when child was born Inverness Present address of Father deceased

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

Race French Name and present address of Physician in attendance at birth Dr. MacMaster

Signature of Applicant Mary O. Chiasson Address of Applicant 75 8th St. New Waterford Date September 1966

Relationship of Applicant to child Sister

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of MargaretChiasson

Born at Inverness in the County of Inverness

That MargaretChiasson Whose Birth is sought to be registered was

born at Inverness Inverness County on September 13, 1921

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

Applicant is my sister Family Bible

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