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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000833

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Mary MargaretMacLellan Sex Female

Date of Birth October 8, 1922 Place of Birth InvernessCounty of Inverness

Name of Father John Angus MacLellan MAIDEN NAME of Mother flora MacLellan

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

Residence of Father when child was born Inverness Present address of Father Deceased

Occupation of Father at Birth of child Miner Place of birth of Father Inverness

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mary Florence Deroy Address of Applicant 38 Lakefront Road, Dartmouth Date 5 February 1981

Relationship of Applicant to child Daughter

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Mary MargaretMacLellan

Born at Inverness in the County of Inverness

That Mary MargaretMacLellan Whose Birth is sought to be registered was

born at Inverness Inverness County on October 8, 1922

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

1. Baptismal 2. Extract from marriage

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