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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

66700022

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth December 12, 1919 Place of Birth SydneyCounty of Cape Breton

Name of Father Ronald MacLeod MAIDEN NAME of Mother Bell Jollimore

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

Residence of Father when child was born Sydney Present address of Father 46 Broadway, Whitney Pier, Sydney

Occupation of Father at Birth of child Coal trimmer Place of birth of Father Port Marien

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

Signature of Applicant Ronald McLeod Address of Applicant 46 Broadway, Whitney Pier, Sydney Date 12 December 1919

Relationship of Applicant to child father

AFFIDAVIT

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

Born at Sydney in the County of Cape Breton

That AliceMacLeod Whose Birth is sought to be registered was

born at Sydney Cape Breton County on December 12, 1919

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

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