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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000078

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth May 3, 1920 Place of Birth HodsonCounty of Pictou

Name of Father William Louis MacLeod MAIDEN NAME of Mother Jessie E. Sutherland

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

Residence of Father when child was born Carribou River Present address of Father Carribou River

Occupation of Father at Birth of child Labourer Place of birth of Father Carribou River

Race Scottish Name and present address of Physician in attendance at birth

Signature of Applicant John Alexander MacLeod Address of Applicant 161 Dalhousie St. Brantford, Ontario Date December 12, 1947

Relationship of Applicant to child

AFFIDAVIT

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

Born at Hodson in the County of Pictou

That John AlexanderMacLeod Whose Birth is sought to be registered was

born at Hodson Pictou County on May 3, 1920

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

I am the mother of John A. MacLeod I had no physician at the time of my son's birth only a mid-wife when is now deceased.

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