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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

66700446

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Phyllis JosephineMacLeod Sex Female

Date of Birth October 29, 1919 Place of Birth SydneyCounty of Cape Breton

Name of Father Augustine Martell MacLeod MAIDEN NAME of Mother Minnie Alberta Faulkner

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

Residence of Father when child was born Sydney Present address of Father Cromarty St.

Occupation of Father at Birth of child Manf. agent Place of birth of Father Sydney

Race Name and present address of Physician in attendance at birth Dr. Freeman O'Neil

Signature of Applicant Minnie Alberta MacLeod Address of Applicant Cromarty St., Sydney Date 15 November 1919

Relationship of Applicant to child mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Phyllis JosephineMacLeod

Born at Sydney in the County of Cape Breton

That Phyllis JosephineMacLeod Whose Birth is sought to be registered was

born at Sydney Cape Breton County on October 29, 1919

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

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