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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100038

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of ReginaMcLeod Sex Female

Date of Birth April 5, 1920 Place of Birth New WaterfordCounty of Cape Breton

Name of Father Norman McLeod MAIDEN NAME of Mother Lucy Qighe

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

Residence of Father when child was born New Waterford Present address of Father deceased

Occupation of Father at Birth of child Miner Place of birth of Father St. Edward

Race Name and present address of Physician in attendance at birth

Signature of Applicant Regina Warburton Address of Applicant New Waterford Date November 19, 1979

Relationship of Applicant to child self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of ReginaMcLeod

Born at New Waterford in the County of Cape Breton

That ReginaMcLeod Whose Birth is sought to be registered was

born at New Waterford Cape Breton County on April 5, 1920

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

My mother told me I was born on April 5, 1920. My baptismal certificate in your possession verifies this fact. I have always used the date April 5, 1920 as my birthday for confirmations, school purposes and employment.

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