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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000796

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Stella MargaretLeRoy Sex Female

Date of Birth December 8, 1921 Place of Birth North SydneyCounty of Cape Breton

Name of Father John LeRoy MAIDEN NAME of Mother Annie Jesse

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

Residence of Father when child was born North Sydney Present address of Father deceased

Occupation of Father at Birth of child Seaman Place of birth of Father France

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Francis Power Address of Applicant 19 Forrest St. North Sydney Date 26 February 1979

Relationship of Applicant to child Sister

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Stella MargaretLeRoy

Born at North Sydney in the County of Cape Breton

That Stella MargaretLeRoy Whose Birth is sought to be registered was

born at North Sydney Cape Breton County on December 8, 1921

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

I am an older sister of the said Stella Margaret LeRoy and remember the date of her birth and the attending physician Dr. T. Smith. The birth took place at home.

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