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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

91700815

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth April 26, 1923 Place of Birth BridgewaterCounty of Lunenburg

Name of Father George MacLeod MAIDEN NAME of Mother Katie Nicholson

Residence of Father when child was born Bridgewater, Lunenburg Co., NS Present address of Father Bridgewater, Lunenburg Co., NS

Occupation of Father at Birth of child Sales Agent Place of birth of Father Surrey, Prince Edward Island

Race Name and present address of Physician in attendance at birth

Signature of Applicant George MacLeod Address of Applicant Bridgewater, Lunenburg Co., NS Date 8 April 1943

Relationship of Applicant to child Father

AFFIDAVIT

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

Born at Bridgewater in the County of Lunenburg

That Annie SylviaMacLeod Whose Birth is sought to be registered was

born at Bridgewater Lunenburg County on April 26, 1923

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

I am the father of Annie Sylvia MacLeod. Certificate of baptism from church records attached hereto.

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