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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000866

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Greta ElizabethGouchie Sex Female

Date of Birth June 15, 1921 Place of Birth AmherstCounty of Cumberland

Name of Father George Gouchie MAIDEN NAME of Mother Minnie Arsenault

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

Residence of Father when child was born Upper Nappan Present address of Father deceased

Occupation of Father at Birth of child Farmer Place of birth of Father Upper Nappan

Race Name and present address of Physician in attendance at birth

Signature of Applicant Greta E. MacDonald Address of Applicant 78 South Albion St. Amherst Date December 4, 1979

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Greta ElizabethGouchie

Born at Amherst in the County of Cumberland

That Greta ElizabethGouchie Whose Birth is sought to be registered was

born at Amherst Cumberland County on June 15, 1921

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

Based on school records which are now in the possession of Mr. Arthur the Asst. Dept. Registrar General.

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