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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000869

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Josephine MarionMacLeod Sex Female

Date of Birth July 8, 1921 Place of Birth North River BridgeCounty of Victoria

Name of Father John E. MacLeod MAIDEN NAME of Mother Mary Ann Morrison

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

Residence of Father when child was born North River Bridge Present address of Father decease

Occupation of Father at Birth of child Farmer Place of birth of Father North River Bridge

Race Name and present address of Physician in attendance at birth

Signature of Applicant Dolores Conahan Address of Applicant 33 Currie St. Glace Bay Date January 14, 1980

Relationship of Applicant to child Nil

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Josephine MarionMacLeod

Born at North River Bridge in the County of Victoria

That Josephine MarionMacLeod Whose Birth is sought to be registered was

born at North River Bridge Victoria County on July 8, 1921

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

The attached letters indicating birth date, parentage and baptism date as attested by Rev. Ann Ross

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