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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100270

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of John EdwardGouthro Sex Male

Date of Birth July 3, 1920 Place of Birth North SydneyCounty of Cape Breton

Name of Father Charles Gouthro MAIDEN NAME of Mother  White

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

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

Occupation of Father at Birth of child Place of birth of Father North Sydney

Race Name and present address of Physician in attendance at birth

Signature of Applicant John Edward Gouthro Address of Applicant North Sydney Date July 12, 1985

Relationship of Applicant to child self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of John EdwardGouthro

Born at North Sydney in the County of Cape Breton

That John EdwardGouthro Whose Birth is sought to be registered was

born at North Sydney Cape Breton County on July 3, 1920

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

Enclosed Certificate of Baptism

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