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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100116

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth March 24, 1921 Place of Birth BenacadieCounty of Cape Breton

Name of Father John a. MacLennan MAIDEN NAME of Mother Christina MacNeil

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

Residence of Father when child was born Benacadie West Present address of Father deceased

Occupation of Father at Birth of child Farmer Place of birth of Father Port Hood

Race Name and present address of Physician in attendance at birth

Signature of Applicant Annie Mae MacLennan MacIsaac Address of Applicant Date 1 Gannon St. Glace Bay

Relationship of Applicant to child September 8, 1985

AFFIDAVIT

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

Born at Benacadie in the County of Cape Breton

That Annie MaeMacLennan Whose Birth is sought to be registered was

born at Benacadie Cape Breton County on March 24, 1921

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

Baptismal Certificate

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