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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000103

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Chester IraReid Sex Male

Date of Birth January 2, 1922 Place of Birth GlenholmeCounty of Colchester

Name of Father Purley Reid MAIDEN NAME of Mother Susan Fulmore

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

Residence of Father when child was born Glenholme, Colchester Present address of Father RR 1, Box 42, Debert Station, Colchester

Occupation of Father at Birth of child Farmer Place of birth of Father Lower Debert, Colchester

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Purley Reid Address of Applicant RR 1, Box 42, Debert Station, Colchester Date 5 September 1950

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Chester IraReid

Born at Glenholme in the County of Colchester

That Chester IraReid Whose Birth is sought to be registered was

born at Glenholme Colchester County on January 2, 1922

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

I am the mother of said Chester Ira Reid and have a Doctors certificate attached

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