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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000917

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Magdalen TeresaCopan Sex Female

Date of Birth January 8, 1920 Place of Birth InvernessCounty of Inverness

Name of Father Augustan Copan MAIDEN NAME of Mother Elesbeth Jacobi

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

Residence of Father when child was born Inverness Present address of Father deceased

Occupation of Father at Birth of child Coal Miner Place of birth of Father France

Race Name and present address of Physician in attendance at birth

Signature of Applicant Magdalen T. Whitehouse Address of Applicant Vaughan, Ontario Date April 17, 1978

Relationship of Applicant to child self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Magdalen TeresaCopan

Born at Inverness in the County of Inverness

That Magdalen TeresaCopan Whose Birth is sought to be registered was

born at Inverness Inverness County on January 8, 1920

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

My sister Mrs. Erma Burke, New Victoria, Cape Breton. Aunt Mrs. Margaret Gouthro, May Street, Scotchtown, New Waterford, Cape Breton.

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