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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000451

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth December 23, 1924 Place of Birth DartmouthCounty of Halifax

Name of Father Nazaire Chaisson MAIDEN NAME of Mother Marie Louise L'Oiseau

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

Residence of Father when child was born Victoria Road, Dartmouth, NS Present address of Father 82 Penhorn Drive, Dartmouth, NS

Occupation of Father at Birth of child Barber Place of birth of Father Magdeline Islands, Quebec

Race Name and present address of Physician in attendance at birth

Signature of Applicant Emily Mary Swinemar Address of Applicant 82 Penhorn Drive, Dartmouth, NS Date 28 February 1975

Relationship of Applicant to child Self

AFFIDAVIT

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

Born at Dartmouth in the County of Halifax

That Mary EmilyChaisson Whose Birth is sought to be registered was

born at Dartmouth Halifax County on December 23, 1924

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

Certificate of Baptism

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