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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100011

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Jessie MargaretMcLellan Sex Female

Date of Birth January 13, 1920 Place of Birth New WaterfordCounty of Cape Breton

Name of Father Dan A. McLellan MAIDEN NAME of Mother Mary MacDonald

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 Lake Ainsley

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mary Ann McNeil Address of Applicant New Waterford Date July 27, 1979

Relationship of Applicant to child sister

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Jessie MargaretMcLellan

Born at New Waterford in the County of Cape Breton

That Jessie MargaretMcLellan Whose Birth is sought to be registered was

born at New Waterford Cape Breton County on January 13, 1920

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

I am an older sister of Jessie Margaret McLellan and am aware of the date of her birth.

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