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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000219

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of John HughMacLellan Sex Male

Date of Birth June 30, 1923 Place of Birth KeppochCounty of Inverness

Name of Father Andrew D. MacLellan MAIDEN NAME of Mother Annie B. MacDonnell

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

Residence of Father when child was born Keppoch Inverness Co. Ns Present address of Father Deceased

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

Race Name and present address of Physician in attendance at birth

Signature of Applicant John Hugh MacLellan Address of Applicant Keppoch, Inverness Co., NS Date 4 June 1957

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of John HughMacLellan

Born at Keppoch in the County of Inverness

That John HughMacLellan Whose Birth is sought to be registered was

born at Keppoch Inverness County on June 30, 1923

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

Certificate of Baptism

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