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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000952

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Sarah LorettaMacLean Sex Female

Date of Birth September 7, 1921 Place of Birth SydneyCounty of Cape Breton

Name of Father John J.  MacLean MAIDEN NAME of Mother Catherine MacPherson

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

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

Occupation of Father at Birth of child Place of birth of Father Bridgeport

Race Name and present address of Physician in attendance at birth

Signature of Applicant Sarah L. Mathis Address of Applicant 401 Walker Lane Burlington, Ontario Date April 25, 1980

Relationship of Applicant to child I am applying for my own birth certificate

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Sarah LorettaMacLean

Born at Sydney in the County of Cape Breton

That Sarah LorettaMacLean Whose Birth is sought to be registered was

born at Sydney Cape Breton County on September 7, 1921

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

The certificate of Baptism and Birth reissued on August 8th 1953 by the assistant pastor of the Parish of the Immaculate Conception at Bridgeport Glace Bay N.S. Please find enclosed a photocopy of the original which is in the possession of Sarah Loretta MacLean Mathis

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