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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000438

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Catherine MaryMcLellan Sex Female

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

Name of Father John george McLellan MAIDEN NAME of Mother Annie Catherine Delaney

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 Antigonish, 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 Catherine Mary McLellan Address of Applicant Bethany, Antigonish Date 11 January 1972

Relationship of Applicant to child Same

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Catherine MaryMcLellan

Born at Big Marsh in the County of Antigonish

That Catherine MaryMcLellan Whose Birth is sought to be registered was

born at Big Marsh Antigonish County on May 18, 1922

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

Perusal of certificate of birth and baptism issued by B. Campbell, Parish Priest of St. Georges Church, Georgeville, Antigonish County

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