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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000799

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Leon StanleyDixon Sex Male

Date of Birth January 10, 1920 Place of Birth Little RiverCounty of Cumberland

Name of Father Stanley Bedford Dixon MAIDEN NAME of Mother Mabel Elizabeth MacDonald

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

Residence of Father when child was born Little River, Cumberland Co. Present address of Father Deceased, Oxford, Cumberland Co.

Occupation of Father at Birth of child Farmer Place of birth of Father Little River, Cumberland Co.

Race English Name and present address of Physician in attendance at birth Mrs. G. I. Thompson

Signature of Applicant Mrs. Mabel Dixon Address of Applicant Oxford, Cumberland Co. Date 15 July 1976

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Leon StanleyDixon

Born at Little River in the County of Cumberland

That Leon StanleyDixon Whose Birth is sought to be registered was

born at Little River Cumberland County on January 10, 1920

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

I am the mother of the said Leon Stanley Dixon and I well recall the occasion and the date and during the intervening years since, the birth day of the said Leon Stanley Dixon has been recognized and celebrated on the 10th day of January 1920.

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