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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100133

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Howard FraserMacLean Sex Male

Date of Birth September 3, 1921 Place of Birth SydneyCounty of Cape Breton

Name of Father John Malcolm MacLean MAIDEN NAME of Mother Lena MacLeod

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

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

Occupation of Father at Birth of child electrician Place of birth of Father Lake Ainslie

Race Name and present address of Physician in attendance at birth

Signature of Applicant Howard F. MacLean Address of Applicant 213 Victoria Rd. Sydney Date October 26, 1985

Relationship of Applicant to child self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Howard FraserMacLean

Born at Sydney in the County of Cape Breton

That Howard FraserMacLean Whose Birth is sought to be registered was

born at Sydney Cape Breton County on September 3, 1921

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

This is my own birth

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