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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

93300287

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Thelma Amelia EstherMacLeod Sex Female

Date of Birth October 7, 1906 Place of Birth PugwashCounty of Cumberland

Name of Father Ira Malcolm MacLeod MAIDEN NAME of Mother Esther Annie Myatt

Residence of Father when child was born Pugwash Present address of Father Pugwash

Occupation of Father at Birth of child Blacksmith Place of birth of Father Gulf Shore

Race Scottish Name and present address of Physician in attendance at birth Dr. D.R. MacIntosh

Signature of Applicant Everett G. Patriquin Address of Applicant Greenville Station Date 11 November 1925

Relationship of Applicant to child Husband

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Thelma Amelia EstherMacLeod

Born at Pugwash in the County of Cumberland

That Thelma Amelia EstherMacLeod Whose Birth is sought to be registered was

born at Pugwash Cumberland County on October 7, 1906

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

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