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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000580

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth August 2, 1922 Place of Birth North SydneyCounty of Cape Breton

Name of Father Gordon Gouthro MAIDEN NAME of Mother Eva C. Fogarty

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

Residence of Father when child was born North Sydney, Cape Breton Present address of Father Deceased

Occupation of Father at Birth of child Skipper Place of birth of Father North Sydney, Cape Breton

Race Name and present address of Physician in attendance at birth

Signature of Applicant Eva C. Gouthro Address of Applicant North Sydney, Cape Breton Date 18 May 1976

Relationship of Applicant to child Mother

AFFIDAVIT

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

Born at North Sydney in the County of Cape Breton

That John FrancisGouthro Whose Birth is sought to be registered was

born at North Sydney Cape Breton County on August 2, 1922

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

I am the mother of the said John Francis Gouthro

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