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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100071

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of CalvinMcLeod Sex Male

Date of Birth May 18, 1923 Place of Birth Glace BayCounty of Cape Breton

Name of Father   MAIDEN NAME of Mother Jessie McLeod

Were the Parents married at the time of the Birth? No

Residence of Father when child was born Present address of Father

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 Calvin McLeod Address of Applicant 39 Catherine St. Glace Bay Date August 3, 1994

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of CalvinMcLeod

Born at Glace Bay in the County of Cape Breton

That CalvinMcLeod Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on May 18, 1923

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

Search of Census Records of June 1931 and Department of Veteran Affairs Records (Birth documents attached)

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