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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000810

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of EdwardMacLean Sex Male

Date of Birth January 10, 1922 Place of Birth Glace BayCounty of Cape Breton

Name of Father John t. MacLean MAIDEN NAME of Mother Loretta Boutilier

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

Residence of Father when child was born New Aberdeen, Glace Bay, Cape Breton Present address of Father Deceased

Occupation of Father at Birth of child Coal Miner Place of birth of Father Dominion, Cape Breton

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Edith Boutilier Address of Applicant 154 Main Street, Reserve Mines, Cape Breton Date 25 May 1980

Relationship of Applicant to child sister

AFFIDAVIT

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

Born at Glace Bay in the County of Cape Breton

That EdwardMacLean Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on January 10, 1922

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

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