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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000326

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Leo AlexanderMcIsaac Sex Male

Date of Birth November 19, 1923 Place of Birth HalifaxCounty of Halifax

Name of Father Leo Joseph McIsaac MAIDEN NAME of Mother Amy Barkhouse

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

Residence of Father when child was born Halifax Ns Present address of Father Deceased

Occupation of Father at Birth of child Self Employed Place of birth of Father Halifax, NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Joyce E. McIsaac Address of Applicant Black Point, Halifax Co., NS Date 4 September 1967

Relationship of Applicant to child Wife

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Leo AlexanderMcIsaac

Born at Halifax in the County of Halifax

That Leo AlexanderMcIsaac Whose Birth is sought to be registered was

born at Halifax Halifax County on November 19, 1923

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

Attached Baptismal certificate

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