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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000808

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Jane EleanordeCoste Sex Female

Date of Birth April 12, 1921 Place of Birth Havre BoucherCounty of Antigonish

Name of Father Joseph deCoste MAIDEN NAME of Mother Anastasia Levangie

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

Residence of Father when child was born Cape Jack Present address of Father deceased

Occupation of Father at Birth of child Fisherman Place of birth of Father Cape Jack

Race Name and present address of Physician in attendance at birth

Signature of Applicant Cathy Halloran Address of Applicant 29 Irene Ave. Lower Sackville Date March 8, 1979

Relationship of Applicant to child none

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Jane EleanordeCoste

Born at Havre Boucher in the County of Antigonish

That Jane EleanordeCoste Whose Birth is sought to be registered was

born at Havre Boucher Antigonish County on April 12, 1921

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

Baptismal

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