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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

91900319

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth July 2, 1921 Place of Birth New GlasgowCounty of Pictou

Name of Father Hugh Roy Macleod MAIDEN NAME of Mother Mary Catherine Murray

Residence of Father when child was born New Glasgow, Pictou Co., NS Present address of Father New Glasgow, Pictou Co., NS

Occupation of Father at Birth of child Clerk Place of birth of Father River John, Pictou Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant M. Douglas macLeod Address of Applicant New Glasgow, Pictou Co., NS Date 17 April 1945

Relationship of Applicant to child Self

AFFIDAVIT

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

Born at New Glasgow in the County of Pictou

That Murray DouglasMacLeod Whose Birth is sought to be registered was

born at New Glasgow Pictou County on July 2, 1921

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

That I am his father and I remember the date

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