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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000293

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Robert KeithMcLeod Sex Male

Date of Birth April 17, 1923 Place of Birth HalifaxCounty of Halifax

Name of Father Frank Churchill McLeod MAIDEN NAME of Mother Alice Borden

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

Residence of Father when child was born Quinpool Road Halifax Ns Present address of Father 51 Evans Avenue, Fairview, NS

Occupation of Father at Birth of child Merchant Place of birth of Father Truro, Colchester Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Alice McLeod Address of Applicant 51 Evans Avenue, Fairview, NS Date August 1963

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Robert KeithMcLeod

Born at Halifax in the County of Halifax

That Robert KeithMcLeod Whose Birth is sought to be registered was

born at Halifax Halifax County on April 17, 1923

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

Baptism certificate and hospital record

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