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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100412

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of John MichaelMacLellan Sex Male

Date of Birth October 25, 1920 Place of Birth InvernessCounty of Inverness

Name of Father John Michael  MacLellan MAIDEN NAME of Mother Margaret Gillis

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

Residence of Father when child was born Inverness Present address of Father

Occupation of Father at Birth of child Place of birth of Father Inverness

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mary Jane MacKay Address of Applicant Halifax Date August 21, 2000

Relationship of Applicant to child none

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of John MichaelMacLellan

Born at Inverness in the County of Inverness

That John MichaelMacLellan Whose Birth is sought to be registered was

born at Inverness Inverness County on October 25, 1920

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

Baptismal and Marriage Certificate

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