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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000988

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of AllisonMcCoubrey Sex Male

Date of Birth May 1, 1922 Place of Birth SydneyCounty of Cape Breton

Name of Father Harry A. R. McCoubrey MAIDEN NAME of Mother Carrie S. Lambert

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

Residence of Father when child was born 158 Prince Street, Sydney, Cape Breton Present address of Father Deceased

Occupation of Father at Birth of child Wholesale Place of birth of Father

Race Name and present address of Physician in attendance at birth

Signature of Applicant Allison McCoubrey Address of Applicant 43 Spokane Street SW, Calgary, Alberta, T2W 0M6 Date 5 October 1984

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of AllisonMcCoubrey

Born at Sydney in the County of Cape Breton

That AllisonMcCoubrey Whose Birth is sought to be registered was

born at Sydney Cape Breton County on May 1, 1922

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

That I am Allison McCoubrey, that I have always been told I was born in 1922, 1st day of May, that I was 21 when I entered the Army in 1943.

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