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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100068

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Annie CampbellMacLennan Sex Female

Date of Birth January 6, 1920 Place of Birth West Middle RiverCounty of Victoria

Name of Father Dan J. MacLennan MAIDEN NAME of Mother Annie Campbell

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

Residence of Father when child was born West Middle River, Victoria Co. Present address of Father deceased

Occupation of Father at Birth of child Farmer Place of birth of Father Middle River, Victoria Co.

Race Name and present address of Physician in attendance at birth

Signature of Applicant Annie Campbell MacLennan (Curley) Address of Applicant Box 92, RR #3, Baddeck, Victoria Co. Date 19 June 1981

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Annie CampbellMacLennan

Born at West Middle River in the County of Victoria

That Annie CampbellMacLennan Whose Birth is sought to be registered was

born at West Middle River Victoria County on January 6, 1920

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

From information on Baptism certificate

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