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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000061

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Catherine CrowdisMacLeod Sex Female

Date of Birth December 23, 1920 Place of Birth Glace BayCounty of Cape Breton

Name of Father Dan S. MacLeod MAIDEN NAME of Mother Ellen Burton

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

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

Occupation of Father at Birth of child Mechanic Place of birth of Father Reserve Mines

Race Scottish Name and present address of Physician in attendance at birth Dr. J. McLean - deceased

Signature of Applicant Dan J. MacLeod Address of Applicant Glace Bay Date August 19, 1947

Relationship of Applicant to child Father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Catherine CrowdisMacLeod

Born at Glace Bay in the County of Cape Breton

That Catherine CrowdisMacLeod Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on December 23, 1920

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

I am her father

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