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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

91900789

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Allison GordonMacLean Sex Male

Date of Birth February 14, 1920 Place of Birth Glace BayCounty of Cape Breton

Name of Father Thomas Allison MacLean MAIDEN NAME of Mother Harriet Mary MacInnes

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

Residence of Father when child was born Glace Bay Present address of Father Glace Bay

Occupation of Father at Birth of child Moulder Place of birth of Father Chatham, New Brunswick

Race White Name and present address of Physician in attendance at birth Dr. F.W. Green

Signature of Applicant Harriet Mary MacLean Address of Applicant Glace Bay Date September 12, 1945

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Allison GordonMacLean

Born at Glace Bay in the County of Cape Breton

That Allison GordonMacLean Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on February 14, 1920

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

I am the mother of Allison Gordon MacLean

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