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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100073

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Francis JosephMacLellan Sex

Date of Birth December 9, 1920 Place of Birth Glace BayCounty of Cape Breton

Name of Father Percy MacLellan MAIDEN NAME of Mother Mary Jane Brodie Morrison

Were the Parents married at the time of the Birth?

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 Glace Bay

Race Name and present address of Physician in attendance at birth

Signature of Applicant Francis J./ MacLellan Address of Applicant 6 Pine Street, Glace Bay Date June 21, 1980

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Francis JosephMacLellan

Born at Glace Bay in the County of Cape Breton

That Francis JosephMacLellan Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on December 9, 1920

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

It is based on a Certificate of Birth and Baptism. Baptism took place December 19, 1920. Particulars of the event are taken from the records of Immaculate Conception Church at Bridgeport, Glace Bay, Cape Breton. Certificate attached.

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