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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

66700032

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Philomona KathleenGoff Sex Female

Date of Birth December 19, 1919 Place of Birth SydneyCounty of Cape Breton

Name of Father John Joseph Goff MAIDEN NAME of Mother Annie McNeil

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

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

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

Race Name and present address of Physician in attendance at birth Dr. W.R. McRae

Signature of Applicant John Joseph Goff Address of Applicant Sydney Date 14 January 1920

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Philomona KathleenGoff

Born at Sydney in the County of Cape Breton

That Philomona KathleenGoff Whose Birth is sought to be registered was

born at Sydney Cape Breton County on December 19, 1919

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

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