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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000146

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Wallace RobertMacLeod Sex Male

Date of Birth May 27, 1921 Place of Birth South BarCounty of Cape Breton

Name of Father Daniel Angus MacLeod MAIDEN NAME of Mother Tena Thompson

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

Residence of Father when child was born South Bar Present address of Father South Bar

Occupation of Father at Birth of child Blacksmith Place of birth of Father Baddeck

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

Signature of Applicant Wallace MacLeod Address of Applicant 1021 Richard St. Vancouver, British Columbia Date July 6, 1951

Relationship of Applicant to child George MacLeod

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Wallace RobertMacLeod

Born at South Bar in the County of Cape Breton

That Wallace RobertMacLeod Whose Birth is sought to be registered was

born at South Bar Cape Breton County on May 27, 1921

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

That I have known him from time of his birth also I was present at his baptism. I have also known his parents long before Wallace was born. (Census report attached)

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