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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000205

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Leo AlexanderBuchanan Sex Male

Date of Birth September 11, 1924 Place of Birth HalifaxCounty of Halifax

Name of Father Edward Patrick Buchanan MAIDEN NAME of Mother Rita Mary Young

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

Residence of Father when child was born Halifax, NS Present address of Father Waverley, Halifax Co., NS

Occupation of Father at Birth of child Clerk Place of birth of Father Halifax, NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Rita M. Buchanan Address of Applicant Waverley, Halifax Co., NS Date 26 August 1958

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Leo AlexanderBuchanan

Born at Halifax in the County of Halifax

That Leo AlexanderBuchanan Whose Birth is sought to be registered was

born at Halifax Halifax County on September 11, 1924

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

I, his mother, was present and conscious at time of birth. Also Rev. Charles Bennett _____ Cliff was present at birth. Address 258 Robie Street

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