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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

93300294

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of LouiseMcLean Sex Female

Date of Birth January 25, 1906 Place of Birth Sydney MinesCounty of Cape Breton

Name of Father Donald McLean MAIDEN NAME of Mother Annie Jessome

Residence of Father when child was born Sydney Mines Present address of Father Deceased

Occupation of Father at Birth of child Coal Miner Place of birth of Father Upper North Sydney

Race white Name and present address of Physician in attendance at birth Dr. L.W. Johnstone

Signature of Applicant Louise McLean Address of Applicant Sydney Mines Date 3 December 1925

Relationship of Applicant to child self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of LouiseMcLean

Born at Sydney Mines in the County of Cape Breton

That LouiseMcLean Whose Birth is sought to be registered was

born at Sydney Mines Cape Breton County on January 25, 1906

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

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