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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

91700884

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Leonard ThomasMusgrave Sex Male

Date of Birth April 5, 1924 Place of Birth SydneyCounty of Cape Breton

Name of Father Harry Leonard Musgrave MAIDEN NAME of Mother Katie Spencer

Residence of Father when child was born George Street, Sydney, Cape Breton Co., NS Present address of Father

Occupation of Father at Birth of child Chauffeur Place of birth of Father North Sydney, Cape Breton Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. K. Musgrave Address of Applicant 33 Dolbin Street, Sydney, Cape Breton Co., NS Date 18 March 1943

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Leonard ThomasMusgrave

Born at Sydney in the County of Cape Breton

That Leonard ThomasMusgrave Whose Birth is sought to be registered was

born at Sydney Cape Breton County on April 5, 1924

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

I am the mother of Leonard Thomas Musgrave

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