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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000681

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth June 25, 1924 Place of Birth Glace BayCounty of Cape Breton

Name of Father William Slade MAIDEN NAME of Mother Pearl MacKay

Were the Parents married at the time of the Birth? No

Residence of Father when child was born Glace Bay, Cape Breton Co., NS Present address of Father Deceased

Occupation of Father at Birth of child Coal Miner Place of birth of Father Donkin, Cape Breton Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Chesley Henry Slade Address of Applicant 238 York Street, St. Catharines, Ontario Date 27 May 1980

Relationship of Applicant to child Self

AFFIDAVIT

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

Born at Glace Bay in the County of Cape Breton

That Chesley HenrySlade Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on June 25, 1924

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

Certification from church records of Chalmers United Church, Dominion. Record from the office of the superintendent of Schools, Glace Bay Personal knowledge as mother of the child. The child was apparently incorrectly recorded as Charles Henry instead of Chesley Henry

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