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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

66700238

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of John MalcolmMacLeod Sex Male

Date of Birth December 11, 1919 Place of Birth BoisdaleCounty of Cape Breton

Name of Father John A McLeod MAIDEN NAME of Mother Mary Cassie McNeil

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

Residence of Father when child was born Barrachois Harbour Present address of Father

Occupation of Father at Birth of child Farming Place of birth of Father Barrachois Harbour

Race Name and present address of Physician in attendance at birth Mrs. Lucy McLeod

Signature of Applicant John A. McLeod Address of Applicant Barrachois Harbour Date 14 December 1919

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of John MalcolmMacLeod

Born at Boisdale in the County of Cape Breton

That John MalcolmMacLeod Whose Birth is sought to be registered was

born at Boisdale Cape Breton County on December 11, 1919

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

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