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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000259

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Arthur JosephCote Sex Male

Date of Birth January 5, 1920 Place of Birth Glace BayCounty of Cape Breton

Name of Father Louis William Cote MAIDEN NAME of Mother Mary Ann McIsaac

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

Residence of Father when child was born Glace Bay Present address of Father Glace Bay

Occupation of Father at Birth of child Mine Overman Place of birth of Father Jersey Heights, New York

Race French Name and present address of Physician in attendance at birth Dr. M.T. Sullivan

Signature of Applicant Louis William Cote Address of Applicant Glace Bay Date June 12, 1956

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Arthur JosephCote

Born at Glace Bay in the County of Cape Breton

That Arthur JosephCote Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on January 5, 1920

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

I am the father of Arthur Joseph Cote and my knowledge of the fact and date of the birth of Arthur Joseph Cote is based on my memory of the event confirmed by personal family records in my possession. Also by Baptismal Certificate submitted herewith.

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