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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000616

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Lilian DorisCoughlan Sex Female

Date of Birth April 2, 1923 Place of Birth SydneyCounty of Cape Breton

Name of Father Thomas Coughlan MAIDEN NAME of Mother Anna Power

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

Residence of Father when child was born Sydney Cape Breton Co. Ns Present address of Father Deceased

Occupation of Father at Birth of child Labourer Place of birth of Father Newfoundland

Race Name and present address of Physician in attendance at birth

Signature of Applicant Rita MacIsaac Address of Applicant New Glasgow, Pictou Co., NS Date 7 October 1977

Relationship of Applicant to child sister

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Lilian DorisCoughlan

Born at Sydney in the County of Cape Breton

That Lilian DorisCoughlan Whose Birth is sought to be registered was

born at Sydney Cape Breton County on April 2, 1923

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

Baptismal certificate

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