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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000293

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Mary St. ThomasMacLellan Sex Female

Date of Birth December 18, 1922 Place of Birth Big MarshCounty of Antigonish

Name of Father Malcolm William MacLellan MAIDEN NAME of Mother Nora Clancy

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

Residence of Father when child was born Big Marsh, Antigonish Present address of Father Big Marsh, Antigonish

Occupation of Father at Birth of child Farmer Place of birth of Father Big Marsh, Antigonish

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Nora MacLellan Address of Applicant Big Marsh, Antigonish Date 8 December 1962

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Mary St. ThomasMacLellan

Born at Big Marsh in the County of Antigonish

That Mary St. ThomasMacLellan Whose Birth is sought to be registered was

born at Big Marsh Antigonish County on December 18, 1922

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

That I am her mother and am therefore aware of the date of her birth and until recently we used her Baptismal certificate for reference as to that date.

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