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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

91602163

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Katherine AliceMcLeod Sex Female

Date of Birth June 14, 1920 Place of Birth South HavenCounty of Victoria

Name of Father William Peter McLeod MAIDEN NAME of Mother Effie Mable Ross

Residence of Father when child was born South Haven, Victoria Co. Present address of Father Lower Sackville, Halifax Co.

Occupation of Father at Birth of child Farmer Place of birth of Father Victoria Co.

Race Scottish Name and present address of Physician in attendance at birth Dr. McIvor, Baddeck

Signature of Applicant W. P. McLeod Address of Applicant Lower Sackville, Halifax Co. Date 24 November 1941

Relationship of Applicant to child Father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Katherine AliceMcLeod

Born at South Haven in the County of Victoria

That Katherine AliceMcLeod Whose Birth is sought to be registered was

born at South Haven Victoria County on June 14, 1920

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

I am the father of the said Katherine Alice McLeod and being present at the time of her birth remember the date and circumstances

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