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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000351

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth February 27, 1924 Place of Birth FramboiseCounty of Richmond

Name of Father Norman MacLeod MAIDEN NAME of Mother Katie Ann MacKillop

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

Residence of Father when child was born Framboise, Richmond Co., NS Present address of Father Deceassed

Occupation of Father at Birth of child Fisherman Place of birth of Father Framboise, Richmond Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Dolena MacAulay Address of Applicant Grand River, Richmond Co., NS Date 18 March 1971

Relationship of Applicant to child Same

AFFIDAVIT

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

Born at Framboise in the County of Richmond

That DolenaMacLeod Whose Birth is sought to be registered was

born at Framboise Richmond County on February 27, 1924

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

I was born and lived at Framboise and 3was a near neighbor of Norman MacLeod and his wife and remember when Dolena MacLeod was born. I am now 78 years old.

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