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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000338

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Roy Dalton DouglasMcLean Sex Male

Date of Birth February 2, 1922 Place of Birth Glace BayCounty of Cape Breton

Name of Father George Andrew McLean MAIDEN NAME of Mother Victoria Andrews

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

Residence of Father when child was born McKays Corner, Glace Bay, Cape Breton Present address of Father McKays Corner, Glace Bay, Cape Breton

Occupation of Father at Birth of child Miner Place of birth of Father Low Point, Cape Breton

Race Name and present address of Physician in attendance at birth

Signature of Applicant Roy Dalton Douglas McLean Address of Applicant 4 McLeods Road, Glace Bay, Cape Breton Date 3 November 1966

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Roy Dalton DouglasMcLean

Born at Glace Bay in the County of Cape Breton

That Roy Dalton DouglasMcLean Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on February 2, 1922

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

Baptismal certificate on file Registration office, Halifax

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