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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000058

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of George ElmerMacLellan Sex Male

Date of Birth August 11, 1921 Place of Birth Birch BrookCounty of Pictou

Name of Father Thomas Ephriam MacLellan MAIDEN NAME of Mother Ella Mae Peshie

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

Residence of Father when child was born Birch Brook Present address of Father Sutherlands River

Occupation of Father at Birth of child Lumberman Place of birth of Father Birch Brook

Race Scottish Name and present address of Physician in attendance at birth Dr. J.R. McIsaac

Signature of Applicant Ella Mae MacLellan Address of Applicant Sutherlands River Date August 19, 1947

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of George ElmerMacLellan

Born at Birch Brook in the County of Pictou

That George ElmerMacLellan Whose Birth is sought to be registered was

born at Birch Brook Pictou County on August 11, 1921

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

I am the Mother of George Elmer MacLellan

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