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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100199

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Edith CavellMcLean Sex Female

Date of Birth May 16, 1920 Place of Birth Glace BayCounty of Cape Breton

Name of Father John Thomas  McLean MAIDEN NAME of Mother Lorretta Boutilier

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 Coal Miner Place of birth of Father Glace Bay

Race Name and present address of Physician in attendance at birth

Signature of Applicant Edith Boutilier Address of Applicant Reserve Mines Date January 28, 1983

Relationship of Applicant to child my own certificate

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Edith CavellMcLean

Born at Glace Bay in the County of Cape Breton

That Edith CavellMcLean Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on May 16, 1920

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

I was told by my mother and older sister when I was born and I also obtained my school records and church birth certificate which I have sent to you recently.

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