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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

90600876

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth October 23, 1921 Place of Birth West Bay RoadCounty of Inverness

Name of Father Ronald McLellan MAIDEN NAME of Mother Mary Ann McDonald

Residence of Father when child was born West Bay Road, Inverness Co., NS Present address of Father Deceased

Occupation of Father at Birth of child Blacksmith Place of birth of Father Broad Cove, Inverness Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Mary Ann McLellan Address of Applicant Cleveland, Richmond Co., NS Date 31 January 1936

Relationship of Applicant to child Mother

AFFIDAVIT

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

Born at West Bay Road in the County of Inverness

That MaryMcLellan Whose Birth is sought to be registered was

born at West Bay Road Inverness County on October 23, 1921

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

Mrs. Howard McKeigan (of Cleveland) has a daughter about the same age who has the age of her _________ in their family bible. There are others in the neighbourhood who can prove her age.

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