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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000289

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Roderick GordonMacLellan Sex Male

Date of Birth October 10, 1920 Place of Birth PlymouthCounty of Pictou

Name of Father Roderick Havelock MacLellan MAIDEN NAME of Mother Margaret Isabell MacKenzie

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

Residence of Father when child was born Plymouth, Pictou Co. Present address of Father RR 2, New Glasgow, Pictou Co.

Occupation of Father at Birth of child Coal Miner Place of birth of Father Plymouth, Pictou Co.

Race Canadian Name and present address of Physician in attendance at birth V. H. T. Parker, Stellarton, Pictou Co. NS

Signature of Applicant Roderick H. MacLellan Address of Applicant Date

Relationship of Applicant to child Father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Roderick GordonMacLellan

Born at Plymouth in the County of Pictou

That Roderick GordonMacLellan Whose Birth is sought to be registered was

born at Plymouth Pictou County on October 10, 1920

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

that I am the father of the said Roderick Gordon MacLellan. that I was at home on the date of the birth of the said Roderick Gordon MacLellan. (doctors record, Army and marriage records, school record)

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