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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000518

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Angus RoyMacLeod Sex Male

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 deceased

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 deceased

Signature of Applicant Mabel Jean MacKenzie Address of Applicant RR3 Pictou Date March 1973

Relationship of Applicant to child Sister

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Angus RoyMacLeod

Born at Cariboo River in the County of Pictou

That Angus RoyMacLeod 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:

I am his twin sister and my birth certificate shows our date and we have siblings confirmed that date as his as well.

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