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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

93502020

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth August 20, 1906 Place of Birth Big BaddeckCounty of Victoria

Name of Father Philip McLean MAIDEN NAME of Mother Hughena McKay

Residence of Father when child was born Big Baddeck Present address of Father Big Baddeck

Occupation of Father at Birth of child Farmer Place of birth of Father Big Baddeck

Race Scottish Name and present address of Physician in attendance at birth Dr. Dan McDonald

Signature of Applicant Catherine A. McLeod Address of Applicant Crescent Grove Date 29 March 1926

Relationship of Applicant to child Adopted/foster mother

AFFIDAVIT

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

Born at Big Baddeck in the County of Victoria

That John BarneyMacLeod Whose Birth is sought to be registered was

born at Big Baddeck Victoria County on August 20, 1906

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

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