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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000740

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of ChesterMarshall Sex Male

Date of Birth August 28, 1922 Place of Birth Upper KemptownCounty of Colchester

Name of Father Henry arshall MAIDEN NAME of Mother Barbara MacKenzie

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

Residence of Father when child was born Kemptown, Colchester Present address of Father Deceased

Occupation of Father at Birth of child Farmer Place of birth of Father Earltown, Colchester

Race Name and present address of Physician in attendance at birth

Signature of Applicant Chester marshall Address of Applicant 59 East Court Road, Upper Kemptown, Colchester Date 21 March 1979

Relationship of Applicant to child Self

AFFIDAVIT

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

Born at Upper Kemptown in the County of Colchester

That ChesterMarshall Whose Birth is sought to be registered was

born at Upper Kemptown Colchester County on August 28, 1922

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

1. School census Dept. of Education - May 1937, Ea4rltown School, Colchester 2. Photostatic copy from family bible 3. Photostatic copy from sisters birthday book

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