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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000126

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of John BasilMcLeod Sex Male

Date of Birth July 6, 1922 Place of Birth Glace BayCounty of Cape Breton

Name of Father Ronald Joseph McLeod MAIDEN NAME of Mother Teresa MacPhee

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

Residence of Father when child was born Glace Bay, Cape Breton Present address of Father Deceased

Occupation of Father at Birth of child Policeman Place of birth of Father Reserve Mines, Cape Breton

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Teresa McLeod Address of Applicant 423 Oxford Street, Halifax Date 9 October 1951

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of John BasilMcLeod

Born at Glace Bay in the County of Cape Breton

That John BasilMcLeod Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on July 6, 1922

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

I am his mother (church records)

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