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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

10000099

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Douglas ErnestMcLeod Sex Male

Date of Birth September 20, 1919 Place of Birth SpringhillCounty of Cumberland

Name of Father John Angus McLeod MAIDEN NAME of Mother Vida Trowsdale

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

Residence of Father when child was born Springhill Present address of Father

Occupation of Father at Birth of child Miner Place of birth of Father Nova Scotia

Race Name and present address of Physician in attendance at birth Dr. R.R. Withrow

Signature of Applicant Vida McLeod Address of Applicant Springhill Date 04 November 1919

Relationship of Applicant to child mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Douglas ErnestMcLeod

Born at Springhill in the County of Cumberland

That Douglas ErnestMcLeod Whose Birth is sought to be registered was

born at Springhill Cumberland County on September 20, 1919

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

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