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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

90500801

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Chesley HughMacDonald Sex Male

Date of Birth August 22, 1921 Place of Birth NappanCounty of Cumberland

Name of Father Hugh MacDonald MAIDEN NAME of Mother Bertha Moore

Residence of Father when child was born McKees Mills Present address of Father Watertown USA

Occupation of Father at Birth of child Steel Worker Place of birth of Father McKees Mills

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Hugh MacDonald Address of Applicant Windsor Date April 2, 1941

Relationship of Applicant to child Mohter

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Chesley HughMacDonald

Born at Nappan in the County of Cumberland

That Chesley HughMacDonald Whose Birth is sought to be registered was

born at Nappan Cumberland County on August 22, 1921

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

By Memory

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