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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000021

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of FlorenceMacLeod Sex Female

Date of Birth January 26, 1924 Place of Birth Glace BayCounty of Cape Breton

Name of Father   MAIDEN NAME of Mother Mary MacLeod

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 Mary MacLeod Address of Applicant Caledonia, Glace Bay, Cape Breton Co., NS Date 27 February 1947

Relationship of Applicant to child Mother

AFFIDAVIT

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

Born at Glace Bay in the County of Cape Breton

That FlorenceMacLeod Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on January 26, 1924

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

I am her mother and believe all dates to be true. Florence MacLeod was born at the Glace Bay General Hospital on January 26, 1924

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