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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100245

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of RoderickMacLean Sex

Date of Birth February 23, 1920 Place of Birth SydneyCounty of Cape Breton

Name of Father Michael MacLean MAIDEN NAME of Mother Katherine Ann Nicholson

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

Residence of Father when child was born Sydney Present address of Father deceased

Occupation of Father at Birth of child C.N. Section Man Place of birth of Father Beaver Cove

Race Name and present address of Physician in attendance at birth

Signature of Applicant Roderick MacLean Address of Applicant 883 Westmount Road, Sydney Date January 28, 1984

Relationship of Applicant to child

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of RoderickMacLean

Born at Sydney in the County of Cape Breton

That RoderickMacLean Whose Birth is sought to be registered was

born at Sydney Cape Breton County on February 23, 1920

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

Record of baptism

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