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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000445

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of John HarleyMcLean Sex Male

Date of Birth May 19, 1921 Place of Birth North SydneyCounty of Cape Breton

Name of Father Frederick McLean MAIDEN NAME of Mother Elisabeth Landry

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

Residence of Father when child was born Blowers St. North Sydney Present address of Father 78 Fisher St. Sydney

Occupation of Father at Birth of child Labourer Place of birth of Father Australia

Race White Name and present address of Physician in attendance at birth

Signature of Applicant F. McLean Address of Applicant 78 Fisher St. Sydney Date November 9, 1970

Relationship of Applicant to child Father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of John HarleyMcLean

Born at North Sydney in the County of Cape Breton

That John HarleyMcLean Whose Birth is sought to be registered was

born at North Sydney Cape Breton County on May 19, 1921

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

Personal knowledge

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