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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000205

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth September 7, 1920 Place of Birth New GlasgowCounty of Pictou

Name of Father James Douglas Leadbeater MAIDEN NAME of Mother Mary Catherine Grant

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

Residence of Father when child was born New Glasgow Present address of Father Antigonish

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

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

Signature of Applicant John Douglas Leadbeater Address of Applicant Antigonish Date August 14, 1953

Relationship of Applicant to child

AFFIDAVIT

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

Born at New Glasgow in the County of Pictou

That John DouglasLeadbeater Whose Birth is sought to be registered was

born at New Glasgow Pictou County on September 7, 1920

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

The birth and baptismal certificate taken from the records Lourdes Church and recorded by Rev. Rather Butts P.P. There is an error on the Baptismal Certificate. The correct name should be Leadbeater

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