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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000749

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Vivian OlivettHyland Sex Female

Date of Birth November 1, 1921 Place of Birth LakelandsCounty of Hants

Name of Father William Henry Hyland MAIDEN NAME of Mother Catherine Coolen

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

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

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

Race Name and present address of Physician in attendance at birth

Signature of Applicant Vivian O. Steeves Address of Applicant Lakeview Date May 15, 1978

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Vivian OlivettHyland

Born at Lakelands in the County of Hants

That Vivian OlivettHyland Whose Birth is sought to be registered was

born at Lakelands Hants County on November 1, 1921

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

Baptismal Certficate Marriage Extract (Mothers maiden name shown in error as Kipper on Marriage Extract. Insurance Policy

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