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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000884

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Donald JohnMacLeod Sex Male

Date of Birth June 11, 1923 Place of Birth Little Bras d'OrCounty of Cape Breton

Name of Father Daniel Robert MacLeod MAIDEN NAME of Mother Florence Reid

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

Residence of Father when child was born Little Bras D'Or Cape Breton Co. Ns Present address of Father Deceased

Occupation of Father at Birth of child Machinist at Bras d'Or Coal Co. Place of birth of Father North River, NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Donald John MacLeod Address of Applicant 68 Alder Point Road, Bras d'Or, Cape Breton Co., NS Date 28 January 1984

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Donald JohnMacLeod

Born at Little Bras d'Or in the County of Cape Breton

That Donald JohnMacLeod Whose Birth is sought to be registered was

born at Little Bras d'Or Cape Breton County on June 11, 1923

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

Birth certificate & certificate of baptism provided by Rev. B. D. Earle.

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