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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

90500584

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Bruce DouglasMacLeod Sex Male

Date of Birth June 26, 1921 Place of Birth Hammonds PlainsCounty of Halifax

Name of Father David MacLeod MAIDEN NAME of Mother Gladys A. Wood

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

Occupation of Father at Birth of child Commercial Taveller Place of birth of Father

Race Name and present address of Physician in attendance at birth

Signature of Applicant H.M. Wood Address of Applicant Pryor St. Halifax Date September 27, 1939

Relationship of Applicant to child Uncle

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Bruce DouglasMacLeod

Born at Hammonds Plains in the County of Halifax

That Bruce DouglasMacLeod Whose Birth is sought to be registered was

born at Hammonds Plains Halifax County on June 26, 1921

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

I am his uncle and visited his mother at that time. Certificate of doctor in attendance is attached hereto

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