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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000047

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of JohnGould Sex Male

Date of Birth September 1, 1921 Place of Birth Glace BayCounty of Cape Breton

Name of Father John Gould MAIDEN NAME of Mother Agnes Donahue

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

Residence of Father when child was born Glace Bay Present address of Father deceased

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

Race White Name and present address of Physician in attendance at birth Dr. E.O. McDonald

Signature of Applicant John Gould Address of Applicant 357 Fourth St. New Aberdeen Date June 28, 1946

Relationship of Applicant to child Self

AFFIDAVIT

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

Born at Glace Bay in the County of Cape Breton

That JohnGould Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on September 1, 1921

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

I am an older brother of John Gould. I am 18 years older than John and I have personal knowlege of the above facts as I remember clearly the date of his birth.

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