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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000905

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth February 8, 1922 Place of Birth AntigonishCounty of Antigonish

Name of Father William J. Chisholm MAIDEN NAME of Mother Annie Jane Kennedy

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

Residence of Father when child was born Fairmont, Antigonish Present address of Father Deceased

Occupation of Father at Birth of child Farmer Place of birth of Father Fairmont, Antigonish

Race Name and present address of Physician in attendance at birth

Signature of Applicant Kathleen Chisholm Address of Applicant 7 Malone Street, Winnipeg, Manitoba Date 2 September 1982

Relationship of Applicant to child Self

AFFIDAVIT

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

Born at Antigonish in the County of Antigonish

That KathleenChisholm Whose Birth is sought to be registered was

born at Antigonish Antigonish County on February 8, 1922

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

That I am Uncle of the applicant and lived at that time about one mile from her home at Fairmont, Antigonish. I was Godfather at her baptism and remember the event. also, census records are in error in showing the given name spelled Catheline and Kathlenn

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