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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

66700042

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth December 25, 1919 Place of Birth SydneyCounty of Cape Breton

Name of Father John C. Courage MAIDEN NAME of Mother Mary Prosper

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

Residence of Father when child was born Sydney Present address of Father 28 Davenport Rd.

Occupation of Father at Birth of child Iron worker Place of birth of Father Newfoundland

Race Name and present address of Physician in attendance at birth Dr. J.G.B. Lynch

Signature of Applicant Mary Courage Address of Applicant 28 Davenport Rd., Sydney Date 01 February1920

Relationship of Applicant to child mother

AFFIDAVIT

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

Born at Sydney in the County of Cape Breton

That John CarlitCourage Whose Birth is sought to be registered was

born at Sydney Cape Breton County on December 25, 1919

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

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