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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

91600181

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Alexander GeorgeMacMillan Sex Male

Date of Birth October 31, 1923 Place of Birth East Lane AinslieCounty of Inverness

Name of Father Malcolm Charles MacMillan MAIDEN NAME of Mother Jessie May Ferguson

Residence of Father when child was born East Lake Ainslie, Inverness Co., NS Present address of Father Deceased

Occupation of Father at Birth of child Farmer Place of birth of Father East Lake Ainslie, Inverness Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Jessie Smith Address of Applicant Whycocomagh, Inverness Co., NS Date 25 August 1941

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Alexander GeorgeMacMillan

Born at East Lane Ainslie in the County of Inverness

That Alexander GeorgeMacMillan Whose Birth is sought to be registered was

born at East Lane Ainslie Inverness County on October 31, 1923

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

That I, Mrs. Jessie Smith, am his mother and I further declare that the above date is the true date on which he was born.

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