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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

90600285

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Margaret EllenLeslie Sex Female

Date of Birth May 11, 1921 Place of Birth HalifaxCounty of Halifax

Name of Father Amos Brenton Leslie MAIDEN NAME of Mother Margaret Clattenburg

Residence of Father when child was born Halifax, NS Present address of Father Blue Store, New York, USA

Occupation of Father at Birth of child Farmer Place of birth of Father Mill Village, NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Amos Brenton Leslie Address of Applicant Blue Store, New York, USA Date 25 May 1932

Relationship of Applicant to child Father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Margaret EllenLeslie

Born at Halifax in the County of Halifax

That Margaret EllenLeslie Whose Birth is sought to be registered was

born at Halifax Halifax County on May 11, 1921

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

Extract from Church records attached

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