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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

91602116

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Christine CatherineMacLean Sex Female

Date of Birth May 17, 1920 Place of Birth Cape DauphinCounty of Victoria

Name of Father Roderick Campbell MacLean MAIDEN NAME of Mother Annie Martha MacRae

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

Residence of Father when child was born Cape Dauphin, Victoria Co. Present address of Father Cape Dauphin, Victoria Co.

Occupation of Father at Birth of child - Place of birth of Father Cape Dauphin, Victoria Co.

Race White Name and present address of Physician in attendance at birth Dr. D. R. MacRae, Sydney Mines, Cape Breton Co.

Signature of Applicant Annie Martha MacLean Address of Applicant Cape Dauphin, Victoria Co. Date 19 July 1941

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Christine CatherineMacLean

Born at Cape Dauphin in the County of Victoria

That Christine CatherineMacLean Whose Birth is sought to be registered was

born at Cape Dauphin Victoria County on May 17, 1920

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

That I am the mother of the said Christine Catherine MacLean

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