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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000652

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

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

Name of Father George Steeves MAIDEN NAME of Mother Jean Thompson

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 Place of birth of Father

Race Name and present address of Physician in attendance at birth

Signature of Applicant Leo Roy Steeves Address of Applicant Box 9, site 8, RR #4, Sydney, Cape Breton Co., NS Date 4 April 1978

Relationship of Applicant to child Self

AFFIDAVIT

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

Born at Sydney in the County of Cape Breton

That Leo RoySteeves Whose Birth is sought to be registered was

born at Sydney Cape Breton County on September 10, 1923

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

My parents told me I was born on September 10, 1923 and because of my health I was baptized at home as apposed to being baptized in Sacred heart Church. In support of my statement I submit a Baptismal certificate taken from the church records at Sacred heart Church, Sydney which states my birth date is September 10, 1923.

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