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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000993

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of John JosephMacLean Sex Male

Date of Birth July 29, 1920 Place of Birth Glace BayCounty of Cape Breton

Name of Father Daniel Malcolm MacLean MAIDEN NAME of Mother Annie Jane MacDonald

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

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

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

Race Name and present address of Physician in attendance at birth

Signature of Applicant John J. MacLean Address of Applicant Moncton, New Brunswick Date April 11, 1979

Relationship of Applicant to child self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of John JosephMacLean

Born at Glace Bay in the County of Cape Breton

That John JosephMacLean Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on July 29, 1920

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

My mother's account of my birth at home, circumstances, date, etc. My Baptismal Record at St. Anthony's Church, Passchendaele, Glace Bay

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