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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000606

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth October 27, 1922 Place of Birth DominionCounty of Cape Breton

Name of Father Dan J. McLellan MAIDEN NAME of Mother Jessie McDonald

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

Residence of Father when child was born 61 Commercial Street, Dominion, Cape Breton Present address of Father Deceased

Occupation of Father at Birth of child Coal Miner Place of birth of Father Whycocomagh, Inverness

Race Name and present address of Physician in attendance at birth

Signature of Applicant Helen Cameron Address of Applicant 3569 Anzio Drive, Vancouver, British Columbia Date 4 October 1976

Relationship of Applicant to child Applicant

AFFIDAVIT

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

Born at Dominion in the County of Cape Breton

That HelenMcLellan Whose Birth is sought to be registered was

born at Dominion Cape Breton County on October 27, 1922

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

I enclose herewith my baptismal certificate from the United Church, Dominion and letter from Central Registry Office, certifying to marriage dated April 11, 1947 with attached letter from Chalmers United Church.

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