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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000002

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Fairley ElmoMcClary Sex Male

Date of Birth February 17, 1921 Place of Birth River HebertCounty of Cumberland

Name of Father Roy Stanley McClary MAIDEN NAME of Mother Annie S. Wolfe

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

Residence of Father when child was born River Hebert Present address of Father deceased

Occupation of Father at Birth of child Engineer Place of birth of Father River Hebert

Race White Name and present address of Physician in attendance at birth Dr. W. Rockwell

Signature of Applicant Annie McClary Address of Applicant River Hebert Date March 7, 1947

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Fairley ElmoMcClary

Born at River Hebert in the County of Cumberland

That Fairley ElmoMcClary Whose Birth is sought to be registered was

born at River Hebert Cumberland County on February 17, 1921

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

Mother

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