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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000026

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Clyde ChipmanRice Sex Male

Date of Birth August 27, 1924 Place of Birth Bear RiverCounty of Digby

Name of Father Robert D. Rice MAIDEN NAME of Mother mary Ann Darres

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

Residence of Father when child was born Bear River, Digby Co., NS Present address of Father Morganville, Digby Co., NS

Occupation of Father at Birth of child Farmer Place of birth of Father Bear River, Digby Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Robert Rice Address of Applicant Morganville, Digby Co., NS Date 28 January 1947

Relationship of Applicant to child Father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Clyde ChipmanRice

Born at Bear River in the County of Digby

That Clyde ChipmanRice Whose Birth is sought to be registered was

born at Bear River Digby County on August 27, 1924

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

I, Robert D. Rive, father of Clyde Chipman Rice, solemnly and sincerely declare that I was at home at the birth of my son and that Clyde C. Rice was born on August 27, 1924 at Bear River, Digby Co., NS

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