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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

66700115

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Leo MichaelPenney Sex Male

Date of Birth December 7, 1919 Place of Birth Glace BayCounty of Cape Breton

Name of Father Philip Ernest Penney MAIDEN NAME of Mother Margaret McNeil

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

Residence of Father when child was born Glace Bay Present address of Father North St.

Occupation of Father at Birth of child Miner Place of birth of Father Avondale, Newfoundland

Race Name and present address of Physician in attendance at birth F.G. McCorkell

Signature of Applicant Philip Ernest Penney Address of Applicant Glace Bay Date 08 December 1919

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Leo MichaelPenney

Born at Glace Bay in the County of Cape Breton

That Leo MichaelPenney Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on December 7, 1919

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

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