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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000625

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Wilfred MauriceLeon Sex Male

Date of Birth October 10, 1923 Place of Birth SydneyCounty of Cape Breton

Name of Father Theophile Leon MAIDEN NAME of Mother Fernande Etesse

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

Residence of Father when child was born Sydney Cape Breton Co. Ns Present address of Father Deceased

Occupation of Father at Birth of child Steel Worker Place of birth of Father St. Pierre & Miquelon

Race Name and present address of Physician in attendance at birth

Signature of Applicant Wilfred Maurice Leon Address of Applicant 43 Union Street, Sydney, Cape Breton Co., NS Date 13 December 1977

Relationship of Applicant to child None

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Wilfred MauriceLeon

Born at Sydney in the County of Cape Breton

That Wilfred MauriceLeon Whose Birth is sought to be registered was

born at Sydney Cape Breton County on October 10, 1923

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

Certificate of birth and baptism of Sacred Heart Parish, Sydney, NS, issued under the seal of the said Parish dates 12 December 1977 hereto annexed.

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