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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000002

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Leotta MurielKirton Sex Female

Date of Birth January 1, 1920 Place of Birth SydneyCounty of Cape Breton

Name of Father Milton Kirton MAIDEN NAME of Mother Daisy Grogan

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

Residence of Father when child was born Sydney Present address of Father deceased

Occupation of Father at Birth of child Steelworker Place of birth of Father Barbados, British West Indies

Race Colored Name and present address of Physician in attendance at birth Dr. A. Calder, Sydney

Signature of Applicant A. Calder Address of Applicant Charlotte St. Sydney Date April 23, 1947

Relationship of Applicant to child none

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Leotta MurielKirton

Born at Sydney in the County of Cape Breton

That Leotta MurielKirton Whose Birth is sought to be registered was

born at Sydney Cape Breton County on January 1, 1920

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

I was the physician attending at the birth of Leotta Muriel Kirton and I have verified the above facts from my records

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