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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000477

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Samuel EverettMcCann Sex Male

Date of Birth November 20, 1920 Place of Birth New GlasgowCounty of Pictou

Name of Father John Baird McCann MAIDEN NAME of Mother Elizabeth Parsons

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

Residence of Father when child was born New Glasgow Present address of Father deceased

Occupation of Father at Birth of child Railroad man Place of birth of Father Stellarton

Race Anglo-saxon Name and present address of Physician in attendance at birth Deceased

Signature of Applicant Samuel Everett McCann Address of Applicant Stellarton Road Date August 21, 1968

Relationship of Applicant to child same

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Samuel EverettMcCann

Born at New Glasgow in the County of Pictou

That Samuel EverettMcCann Whose Birth is sought to be registered was

born at New Glasgow Pictou County on November 20, 1920

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

Church record and school record, both enclosed

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