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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000571

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Bessie MayMacLean Sex Female

Date of Birth November 1, 1921 Place of Birth TarbotCounty of Victoria

Name of Father Allan MacLean MAIDEN NAME of Mother Rhodina Matheson

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

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

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

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

Signature of Applicant Mrs. Rhodina MacLean Address of Applicant Government St. North Sydney Date July 18, 1974

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Bessie MayMacLean

Born at Tarbot in the County of Victoria

That Bessie MayMacLean Whose Birth is sought to be registered was

born at Tarbot Victoria County on November 1, 1921

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

I am the mother of the said Bessie May MacLean and am positive that Novemer 1, 1921 is the correct date of her birth.

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