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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100249

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Joseph BernardGouthro Sex Male

Date of Birth March 6, 1920 Place of Birth North SydneyCounty of Cape Breton

Name of Father Mosley Gouthro MAIDEN NAME of Mother Anne McIntyre

Residence of Father when child was born North Sydney Present address of Father deceased

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

Race Name and present address of Physician in attendance at birth

Signature of Applicant Bobbie Elliott Address of Applicant Kamloops, British Columbia Date February 23, 1984

Relationship of Applicant to child Agent/solicitor

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Joseph BernardGouthro

Born at North Sydney in the County of Cape Breton

That Joseph BernardGouthro Whose Birth is sought to be registered was

born at North Sydney Cape Breton County on March 6, 1920

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

A certified copy of the Certificate of Birth and Baptism from St. Joseph's Parish in North Sydney

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