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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000959

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of James WesleyChislett Sex Male

Date of Birth April 8, 1922 Place of Birth TrentonCounty of Pictou

Name of Father James Charles Chislett MAIDEN NAME of Mother Jessie Sussana Jones

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

Residence of Father when child was born Caroline Street, Trenton, Pictou Present address of Father Deceased

Occupation of Father at Birth of child Labourer Place of birth of Father Harrington Harbour, Quebec

Race Name and present address of Physician in attendance at birth

Signature of Applicant Marion ?chislett Address of Applicant 41 Fifth Street, Trenton, Pictou Date 24 January 1983

Relationship of Applicant to child Daughter

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of James WesleyChislett

Born at Trenton in the County of Pictou

That James WesleyChislett Whose Birth is sought to be registered was

born at Trenton Pictou County on April 8, 1922

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

Enclosed records and I am the daughter of James Wesley Chislett

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