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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

90600262

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Arthur HarrisLeslie Sex Male

Date of Birth June 9, 1920 Place of Birth Three Fathom HarbourCounty of Halifax

Name of Father Nathan Harvey Leslie MAIDEN NAME of Mother Christy Ann Gaetz

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

Residence of Father when child was born Three Fathom Harbour, Halifax Co. Present address of Father Three Fathom Harbour, Halifax Co.

Occupation of Father at Birth of child Farmer Place of birth of Father Seaforth, Halifax Co.

Race Canadian Name and present address of Physician in attendance at birth Dr. Dickson, Dartmouth

Signature of Applicant Christy Ann Leslie Address of Applicant Three Fathom Harbour, Halifax Co. Date 10 January 1935

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Arthur HarrisLeslie

Born at Three Fathom Harbour in the County of Halifax

That Arthur HarrisLeslie Whose Birth is sought to be registered was

born at Three Fathom Harbour Halifax County on June 9, 1920

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

the records of Dr. Dickson of Dartmouth (physician was deceased)

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