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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000383

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of MurdockMacLean Sex Male

Date of Birth April 26, 1923 Place of Birth Big BaddeckCounty of Victoria

Name of Father   MAIDEN NAME of Mother Caroline MacLean

Were the Parents married at the time of the Birth? No

Residence of Father when child was born Present address of Father

Occupation of Father at Birth of child Place of birth of Father

Race Name and present address of Physician in attendance at birth

Signature of Applicant Caroline MacRae Address of Applicant Baddeck, Victoria Co., NS Date 30 March 1970

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of MurdockMacLean

Born at Big Baddeck in the County of Victoria

That MurdockMacLean Whose Birth is sought to be registered was

born at Big Baddeck Victoria County on April 26, 1923

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

Family bible record and mother of the said Murdock MacLean

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