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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000661

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Emma C.MacLellan Sex

Date of Birth January 5, 1920 Place of Birth New WaterfordCounty of Cape Breton

Name of Father Archie MacLellan MAIDEN NAME of Mother Catherine McLean

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

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

Occupation of Father at Birth of child Miner Place of birth of Father Blank

Race Scottish Name and present address of Physician in attendance at birth

Signature of Applicant Emma C. McNeil Address of Applicant 56 Park Rd. N, Brantford Date December 3, 1973

Relationship of Applicant to child self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Emma C.MacLellan

Born at New Waterford in the County of Cape Breton

That Emma C.MacLellan Whose Birth is sought to be registered was

born at New Waterford Cape Breton County on January 5, 1920

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

I am the person and I have always known that I was born at New Waterford on the 5th January 1920

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