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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

91600688

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Mary RuthChisholm Sex Female

Date of Birth March 27, 1923 Place of Birth HalifaxCounty of Halifax

Name of Father Roy Alexander Chisholm MAIDEN NAME of Mother Ellen Clare Cable

Residence of Father when child was born Halifax, NS Present address of Father Halifax, NS

Occupation of Father at Birth of child Clerk Place of birth of Father Halifax, NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Roy Chisholm Address of Applicant 30 Stairs Place, Halifax, NS Date 26 May 1942

Relationship of Applicant to child Father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Mary RuthChisholm

Born at Halifax in the County of Halifax

That Mary RuthChisholm Whose Birth is sought to be registered was

born at Halifax Halifax County on March 27, 1923

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

I am the father of Mary Ruth Chisholm and was present at the hospital at time of birth

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