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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000102

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Mary BlancheMacLeod Sex Female

Date of Birth May 3, 1923 Place of Birth Glace BayCounty of Cape Breton

Name of Father Dan James MacLeod MAIDEN NAME of Mother Ellen Burton

Were the Parents married at the time of the Birth? Yes

Residence of Father when child was born Table Head Glace Bay Cape Breton Co. Ns Present address of Father 565 Howe Street, Glace Bay, Cape Breton Co., NS

Occupation of Father at Birth of child Mechanic Place of birth of Father Reserve Mines, Cape Breton Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Dan J. MacLeod Address of Applicant 565 Howe Street, Glace Bay, Cape Breton Co., NS Date 16 November 1949

Relationship of Applicant to child Father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Mary BlancheMacLeod

Born at Glace Bay in the County of Cape Breton

That Mary BlancheMacLeod Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on May 3, 1923

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

I am her father and remember her birth clearly. Also I am submitting a baptismal certificate & birth certificate from the records of St. John the Baptist church in New Aberdeen, Glace Bay, Cape Breton Co., NS showing her birth as above.

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