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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000053

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of John CaseyLeslie Sex Male

Date of Birth August 31, 1920 Place of Birth Glace BayCounty of Cape Breton

Name of Father James D. Leslie MAIDEN NAME of Mother Mary Casey

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

Residence of Father when child was born Glace Bay Present address of Father deceased

Occupation of Father at Birth of child Miner Place of birth of Father Westville

Race White Name and present address of Physician in attendance at birth Dr. D. McNeil deceased

Signature of Applicant Mrs. Mary Leslie Address of Applicant 2 Leslie St. Glace Bay Date October 1947

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of John CaseyLeslie

Born at Glace Bay in the County of Cape Breton

That John CaseyLeslie Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on August 31, 1920

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

I am his mother.

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