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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000104

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Annie ClareMacLellan Sex Female

Date of Birth November 7, 1921 Place of Birth GillisdaleCounty of Inverness

Name of Father Joseph Angus MacLellan MAIDEN NAME of Mother Mary MacEachern

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

Residence of Father when child was born Gillisdale Present address of Father dead

Occupation of Father at Birth of child Farmer Place of birth of Father Gillisdale

Race White Name and present address of Physician in attendance at birth Mrs. Margaret MacFarlane nurse

Signature of Applicant Mrs. Mary MacLellan Address of Applicant Port Hood Date November 5, 1948

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Annie ClareMacLellan

Born at Gillisdale in the County of Inverness

That Annie ClareMacLellan Whose Birth is sought to be registered was

born at Gillisdale Inverness County on November 7, 1921

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

I am the mother of the said Annie Clair MacLellan and her birth recorded in the Church at South West Margaree

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