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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000886

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Margaret IsabelChiasson 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 Coal Minter Place of birth of Father Cheticamp

Race Name and present address of Physician in attendance at birth

Signature of Applicant Leo Chiasson Address of Applicant 451 8th St. New Waterford Date May 8, 1980

Relationship of Applicant to child Sister

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Margaret IsabelChiasson

Born at Inverness in the County of Inverness

That Margaret IsabelChiasson 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:

We were born on the same day seven years apart which makes my birthday September 13/14

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