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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000147

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Olive VeldaCoolen Sex Female

Date of Birth June 3, 1922 Place of Birth Fox PointCounty of Lunenburg

Name of Father Grant Byron Coolen MAIDEN NAME of Mother Mary Elizabeth Boutilier

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

Residence of Father when child was born Fox Point, Lunenburg Present address of Father Halifax

Occupation of Father at Birth of child Labourer Place of birth of Father Fox Point, Lunenburg

Race Name and present address of Physician in attendance at birth

Signature of Applicant Kirby Coolen Address of Applicant Hubbards, Lunenburg Date 4 October 1952

Relationship of Applicant to child Uncle

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Olive VeldaCoolen

Born at Fox Point in the County of Lunenburg

That Olive VeldaCoolen Whose Birth is sought to be registered was

born at Fox Point Lunenburg County on June 3, 1922

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

I am her uncle and was living nearby at the time of her birth. I am now sixty two years old and remember her birth quite well. (baptism record)

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