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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

66700413

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of IreneGosse Sex Female

Date of Birth October 10, 1919 Place of Birth SydneyCounty of Cape Breton

Name of Father John Gosse MAIDEN NAME of Mother Mary Senyard

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

Residence of Father when child was born Sydney Present address of Father 617 Victoria Rd.

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

Race Name and present address of Physician in attendance at birth Mrs. M. Hiscock, nurse

Signature of Applicant Mrs. M. Hiscock Address of Applicant 107 Bay St., Sydney Date 30 October 1919

Relationship of Applicant to child nurse

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of IreneGosse

Born at Sydney in the County of Cape Breton

That IreneGosse Whose Birth is sought to be registered was

born at Sydney Cape Breton County on October 10, 1919

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

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