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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000400

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of James GordonMacLean Sex Male

Date of Birth July 16, 1921 Place of Birth HalifaxCounty of Halifax

Name of Father James Alexander Norman MacLean MAIDEN NAME of Mother Katherine Amanda MacDonald

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

Residence of Father when child was born Halifax Present address of Father deceased

Occupation of Father at Birth of child Druggist Place of birth of Father Sydney

Race Anglo-Saxon Name and present address of Physician in attendance at birth Dr. F. Little

Signature of Applicant J.G. MacLean Address of Applicant 14 Highland Ave. Yarmouth Date February 17, 1969

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of James GordonMacLean

Born at Halifax in the County of Halifax

That James GordonMacLean Whose Birth is sought to be registered was

born at Halifax Halifax County on July 16, 1921

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

My parents informed me and I always celebrated my birthday on July 16th.

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