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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000271

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Leonard FrancisMacGillivray Sex Male

Date of Birth December 5, 1921 Place of Birth New VictoriaCounty of Cape Breton

Name of Father Ruben MacGillivray MAIDEN NAME of Mother Florence MacNeil

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

Residence of Father when child was born New Victoria Present address of Father deceased

Occupation of Father at Birth of child Miner Place of birth of Father Victoria Mines

Race White Name and present address of Physician in attendance at birth Dr. Hartigan

Signature of Applicant Florence MacGillivray Address of Applicant New Waterford Date November 5, 1959

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Leonard FrancisMacGillivray

Born at New Victoria in the County of Cape Breton

That Leonard FrancisMacGillivray Whose Birth is sought to be registered was

born at New Victoria Cape Breton County on December 5, 1921

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

I recall most vividly the date of the birth of my son Leonard Francis MacGillivray. I also recall the date of his baptism.

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