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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000284

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Catherine MayMacLennan Sex Female

Date of Birth February 5, 1923 Place of Birth Sydney MinesCounty of Cape Breton

Name of Father John W. MacLennan MAIDEN NAME of Mother Jeannie Clark

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

Residence of Father when child was born Cape Dauphin Victoria Co. Ns Present address of Father Deceased

Occupation of Father at Birth of child Farmer Place of birth of Father New Campbellton, Victoria Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Catherine May MacLennan Address of Applicant Sydney River, Cape Breton Co., NS Date 18 January 1963

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Catherine MayMacLennan

Born at Sydney Mines in the County of Cape Breton

That Catherine MayMacLennan Whose Birth is sought to be registered was

born at Sydney Mines Cape Breton County on February 5, 1923

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

I am her mother

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