Female Birth Registration: Year: 1921 number: 99000205
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PROVINCE OF NOVA SCOTIA
DELAYED REGISTRATION OF BIRTH
99000205
TO THE REGISTRAR GENERAL OF NOVA SCOTIA
I hereby make application for the Registration of Birth of Mable JeanMacLeod Sex Female
Date of Birth November 7, 1921 Place of Birth Cariboo RiverCounty of Pictou
Name of Father William Lewis MacLeod MAIDEN NAME of Mother Jessie Ellen Sutherland
Were the Parents married at the time of the Birth? Yes
Residence of Father when child was born Cariboo River Present address of Father Pictou
Occupation of Father at Birth of child Farmer Place of birth of Father Cariboo River
Race White Name and present address of Physician in attendance at birth Dr. J.S. Murray
Signature of Applicant Mrs. Mabel Jean McKenzie Address of Applicant RR3 Pictou Date June 23, 1955
Relationship of Applicant to child Self
AFFIDAVIT
IN THE MATTER of the application for the Registration of the Birth of Mable JeanMacLeod
Born at Cariboo River in the County of Pictou
That Mable JeanMacLeod Whose Birth is sought to be registered was
born at Cariboo River Pictou County on November 7, 1921
My knowledge of the fact and date of such Birth is based on the following Circumstances:
1 Statements of my parents both still living 2 Certificate from Family Bible 3 Certificate from Custodian of School Records
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=416596
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