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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

91900767

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Archy JosephMcEachern Sex Male

Date of Birth March 23, 1921 Place of Birth Judique NorthCounty of Inverness

Name of Father Donald McEachern MAIDEN NAME of Mother Annie McLellan

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

Residence of Father when child was born Judique North, Inverness Co., NS Present address of Father Deceased

Occupation of Father at Birth of child Farmer Place of birth of Father Judique North, Inverness Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. D. McEachern Address of Applicant Judique North, Inverness Co., NS Date 8 June 1945

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Archy JosephMcEachern

Born at Judique North in the County of Inverness

That Archy JosephMcEachern Whose Birth is sought to be registered was

born at Judique North Inverness County on March 23, 1921

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

That I am the mother of the said Archy Joseph McEachern. That I have recorded in the family bible also a baptism certificate which I have forwarded to you.

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