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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100150

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Fraser CarletonMacLeod Sex

Date of Birth December 31, 1920 Place of Birth DominionCounty of Cape Breton

Name of Father John William MacLeod MAIDEN NAME of Mother Estella Marshall

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

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

Occupation of Father at Birth of child Steel Worker Place of birth of Father Dominion

Race Name and present address of Physician in attendance at birth

Signature of Applicant Lattie McAlpine Address of Applicant 1660 Hollis St., Halifax, March Adjustment Bureau Date December 30, 1981

Relationship of Applicant to child None

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Fraser CarletonMacLeod

Born at Dominion in the County of Cape Breton

That Fraser CarletonMacLeod Whose Birth is sought to be registered was

born at Dominion Cape Breton County on December 31, 1920

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

Baptismal

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