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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000898

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth June 29, 1923 Place of Birth Reserve MinesCounty of Cape Breton

Name of Father Thomas Chiasson MAIDEN NAME of Mother Marie Chiasson

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

Residence of Father when child was born Reserve Mines Cape Breton Co. Ns Present address of Father Deceased

Occupation of Father at Birth of child Miner Place of birth of Father Cheticamp, Inverness Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Miner Address of Applicant 33 Chiasson Avenue, Woodstock, Ontario Date June 1984

Relationship of Applicant to child Self

AFFIDAVIT

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

Born at Reserve Mines in the County of Cape Breton

That Mary EvelynChiasson Whose Birth is sought to be registered was

born at Reserve Mines Cape Breton County on June 29, 1923

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

I Olive M. Young am an older sister and remember Evelyn being born at home by Dr. Sparrow and the midwife was Mrs. Catherine Odo

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