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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000950

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Mary BelleMacLeod Sex Female

Date of Birth June 23, 1923 Place of Birth InvernessCounty of Inverness

Name of Father Duncan MacLeod MAIDEN NAME of Mother Mary Maggie MacPhee

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

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

Occupation of Father at Birth of child Coal Miner Place of birth of Father Inverness Co, NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mary Belle MacEachern Address of Applicant 16 Ashland Avenue, Toronto, Ontario Date 26 November 1985

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Mary BelleMacLeod

Born at Inverness in the County of Inverness

That Mary BelleMacLeod Whose Birth is sought to be registered was

born at Inverness Inverness County on June 23, 1923

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

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