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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000710

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Annie KatherineMcLeod Sex Female

Date of Birth December 22, 1922 Place of Birth SydneyCounty of Cape Breton

Name of Father William McLeod MAIDEN NAME of Mother Margaret Isabel Morrison

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

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

Occupation of Father at Birth of child Carpenter Place of birth of Father Gabarus, Cape Breton

Race Name and present address of Physician in attendance at birth

Signature of Applicant Teresa Bancks Address of Applicant 200 Charlotte Street, Cape Breton Date 15 November 1978

Relationship of Applicant to child None

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Annie KatherineMcLeod

Born at Sydney in the County of Cape Breton

That Annie KatherineMcLeod Whose Birth is sought to be registered was

born at Sydney Cape Breton County on December 22, 1922

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

Baptismal certificate of the United Church of Canada

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