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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000121

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Leeland HarlowVeinotte Sex Male

Date of Birth October 11, 1924 Place of Birth Upper New CornwallCounty of Lunenburg

Name of Father Laurie Gordon Veinotte MAIDEN NAME of Mother Clover Ruth Hallamore

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

Residence of Father when child was born Upper New Cornwall, Lunenburg Co., NS Present address of Father New Cornwall, Lunenburg Co., NS

Occupation of Father at Birth of child Labourer Place of birth of Father Upper New Cornwall, Lunenburg Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Clover R. Veinotte Address of Applicant New Cornwall, Lunenburg Co., NS Date 4 February 1952

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Leeland HarlowVeinotte

Born at Upper New Cornwall in the County of Lunenburg

That Leeland HarlowVeinotte Whose Birth is sought to be registered was

born at Upper New Cornwall Lunenburg County on October 11, 1924

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

I am the mother of Leeland Harlow

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