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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

91700130

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Donald JosephMcLellan Sex Male

Date of Birth September 14, 1921 Place of Birth Devonport Road, AshbyCounty of Cape Breton

Name of Father Alexander mcLellan MAIDEN NAME of Mother Agnes Neil

Residence of Father when child was born Devenport Road, Ashby, Sydney, Cape Breton Co., NS Present address of Father Deceased

Occupation of Father at Birth of child Carpenter Place of birth of Father Inverness Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Agnes McLellan Address of Applicant RR #1, Milestrip Road, Lackawanna, New York, USA Date 18 October 1942

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Donald JosephMcLellan

Born at Devonport Road, Ashby in the County of Cape Breton

That Donald JosephMcLellan Whose Birth is sought to be registered was

born at Devonport Road, Ashby Cape Breton County on September 14, 1921

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

I am his Donald Joseph McLellan mother and he lives with me, was born the 14th September 1921 at Devenport Road, Ashby, Sydney. The attending Physician at the time of birth was Dr. Rice, Sydney, NS.

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