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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000912

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Annie eileenLeclair Sex Female

Date of Birth November 14, 1923 Place of Birth Glace BayCounty of Cape Breton

Name of Father Henry D. Leclair MAIDEN NAME of Mother Mary Stella MacPherson

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

Residence of Father when child was born Fraser Steet McKay's Corner Cape Breton Co. Ns Present address of Father Deceased

Occupation of Father at Birth of child Miner Place of birth of Father Frenchvale, Cape Breton Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Annie MacDonald Address of Applicant 88 Connaught Avenue, Glace Bay, Cape Breton Co., NS Date 9 October 1984

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Annie eileenLeclair

Born at Glace Bay in the County of Cape Breton

That Annie eileenLeclair Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on November 14, 1923

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

I am her mother and gave birth to her on the date

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