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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000429

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Mabel ElizabethMcLaren Sex Female

Date of Birth November 28, 1920 Place of Birth Moose RiverCounty of Pictou

Name of Father Laren P.  McLaren MAIDEN NAME of Mother Ella  Ross

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

Residence of Father when child was born Moose River Present address of Father Moose River

Occupation of Father at Birth of child Farmer Place of birth of Father Moose River

Race White Name and present address of Physician in attendance at birth Dr. Frederick Day

Signature of Applicant Mabel E. Colborne Address of Applicant Collingwood Date

Relationship of Applicant to child same person

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Mabel ElizabethMcLaren

Born at Moose River in the County of Pictou

That Mabel ElizabethMcLaren Whose Birth is sought to be registered was

born at Moose River Pictou County on November 28, 1920

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

From information furnished me by my parents during their lifetime, from family bible records, and fact that my birthday has during all my lifetime been celebrated on November 28, 1920

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