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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000941

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of RannieMacLeod Sex Male

Date of Birth May 16, 1922 Place of Birth Trout BrookCounty of Cape Breton

Name of Father Alex MacLeod MAIDEN NAME of Mother Margaret MacLeod

Were the Parents married at the time of the Birth? No

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

Occupation of Father at Birth of child Farmer Place of birth of Father Trout Brook, Cape Breton

Race Name and present address of Physician in attendance at birth

Signature of Applicant Rannie MacLeod Address of Applicant RR #1, Louisbourg, Cape Breton Date 17 November 1982

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of RannieMacLeod

Born at Trout Brook in the County of Cape Breton

That RannieMacLeod Whose Birth is sought to be registered was

born at Trout Brook Cape Breton County on May 16, 1922

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

National Registration Court Order (attached)

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