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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000249

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth July 5, 1924 Place of Birth Big MarshCounty of Antigonish

Name of Father Malcolm W. MacLellan MAIDEN NAME of Mother Nora Clancy

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

Residence of Father when child was born Mig Marsh, Antigonish Co., NS Present address of Father Mig Marsh, Antigonish Co., NS

Occupation of Father at Birth of child Farmer Place of birth of Father Mig Marsh, Antigonish Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Catherine Agnes Callaghan Address of Applicant 379 Saunders Street, Fredericton, New Brunswick Date 12 July 1962

Relationship of Applicant to child Self

AFFIDAVIT

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

Born at Big Marsh in the County of Antigonish

That Catherine AgnesMacLellan Whose Birth is sought to be registered was

born at Big Marsh Antigonish County on July 5, 1924

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

Mother of applicant

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