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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000750

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Leona GraceSteadman Sex Female

Date of Birth August 10, 1920 Place of Birth WatervilleCounty of Kings

Name of Father William Steadman MAIDEN NAME of Mother Laura Clark

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

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

Occupation of Father at Birth of child Farmer Place of birth of Father Black Rock

Race Name and present address of Physician in attendance at birth

Signature of Applicant Leona Grace McDow Address of Applicant Waterville Date Decemberf 11, 1975

Relationship of Applicant to child self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Leona GraceSteadman

Born at Waterville in the County of Kings

That Leona GraceSteadman Whose Birth is sought to be registered was

born at Waterville Kings County on August 10, 1920

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

Entry in Family Bible. See certificate of Commissioner attached hereto. Also Census record attached hereto. Also Family Knowledge.

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