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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100127

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Anne CatherineMacLellan Sex Female

Date of Birth January 23, 1922 Place of Birth Broad Cove PointCounty of Inverness

Name of Father Angus Donald MacLellan MAIDEN NAME of Mother Mary Gillis

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

Residence of Father when child was born Broad Cove Parish, Inverness Present address of Father

Occupation of Father at Birth of child Place of birth of Father Broad Cove Parish, Inverness

Race Name and present address of Physician in attendance at birth

Signature of Applicant Anne Catherine MacLellan Collins Address of Applicant 866 Lawnsberry Drive, Orleans, Ontario Date 12 February 1991

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Anne CatherineMacLellan

Born at Broad Cove Point in the County of Inverness

That Anne CatherineMacLellan Whose Birth is sought to be registered was

born at Broad Cove Point Inverness County on January 23, 1922

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

Matter of family knowledge, recorded in family bible, Baptismal certificate

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