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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100200

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Lillian FraserTaylor Sex Female

Date of Birth November 5, 1921 Place of Birth InvernessCounty of Inverness

Name of Father Frederick Taylor MAIDEN NAME of Mother Rosa Cameron

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

Residence of Father when child was born 210 MacKenzie Ave. Inverness Present address of Father deceased

Occupation of Father at Birth of child Coal Miner Place of birth of Father Country Harbour

Race Name and present address of Physician in attendance at birth

Signature of Applicant Lillian Bihun Address of Applicant Burlington, Ontario Date August 20, 1987

Relationship of Applicant to child Herself

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Lillian FraserTaylor

Born at Inverness in the County of Inverness

That Lillian FraserTaylor Whose Birth is sought to be registered was

born at Inverness Inverness County on November 5, 1921

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

School Census Marriage # 43-02-127093 Marriage # 14-02-020444

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