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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000926

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Thomas BenedictLeadbeater Sex Male

Date of Birth April 8, 1924 Place of Birth StellartonCounty of Pictou

Name of Father James Douglas Leadbeater MAIDEN NAME of Mother Mary Cathrine Grant

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

Residence of Father when child was born Same Present address of Father Graveyard

Occupation of Father at Birth of child Barber Place of birth of Father Westville

Race Name and present address of Physician in attendance at birth

Signature of Applicant Thomas B. Leadbeater Address of Applicant 293 Main St. Antigonish Date October 18, 1988

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Thomas BenedictLeadbeater

Born at Stellarton in the County of Pictou

That Thomas BenedictLeadbeater Whose Birth is sought to be registered was

born at Stellarton Pictou County on April 8, 1924

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

Baptismal Certificate attached

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