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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000825

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Anna MayChisholm Sex Female

Date of Birth May 22, 1921 Place of Birth WestphalCounty of Halifax

Name of Father John Chisholm MAIDEN NAME of Mother Hattie Osborne

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

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

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

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. May Cash Address of Applicant Eastern Passage Date April 30, 1979

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Anna MayChisholm

Born at Westphal in the County of Halifax

That Anna MayChisholm Whose Birth is sought to be registered was

born at Westphal Halifax County on May 22, 1921

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

Baptism and Marriage extract

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