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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000510

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Douglas WilfredMcLellan Sex Male

Date of Birth February 15, 1922 Place of Birth DeanCounty of Halifax

Name of Father Wilfred Noble McLellan MAIDEN NAME of Mother Daisy Luella Perrin

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

Residence of Father when child was born Economy Point, Colchester Present address of Father Deceased

Occupation of Father at Birth of child Labourer Place of birth of Father Economy Point, Colchester

Race Name and present address of Physician in attendance at birth

Signature of Applicant D. W. McLellan Address of Applicant Wardner, British Columbia Date 28 January 1974

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Douglas WilfredMcLellan

Born at Dean in the County of Halifax

That Douglas WilfredMcLellan Whose Birth is sought to be registered was

born at Dean Halifax County on February 15, 1922

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

Date on which my birthday celebrated all my life.

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