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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

93401258

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Archibald DouglasMcLellan Sex Male

Date of Birth May 31, 1906 Place of Birth Glace BayCounty of Cape Breton

Name of Father Alexander McLellan MAIDEN NAME of Mother Effie McIssac

Residence of Father when child was born Glace Bay Present address of Father Glace Bay

Occupation of Father at Birth of child Office Clerk Place of birth of Father Whycocomagh

Race white Name and present address of Physician in attendance at birth Dr. M.D. Morrison

Signature of Applicant Alexander McLellan Address of Applicant Glace Bay Date 28 January 1926

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Archibald DouglasMcLellan

Born at Glace Bay in the County of Cape Breton

That Archibald DouglasMcLellan Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on May 31, 1906

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

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