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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000982

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Frances MargaretCouchie Sex Female

Date of Birth June 17, 1923 Place of Birth AmherstCounty of Cumberland

Name of Father William John Gouchie MAIDEN NAME of Mother Agnes Gertrude Tattrie

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

Residence of Father when child was born Palmer Street Amherst Cumberland Co. Ns Present address of Father Deceassed

Occupation of Father at Birth of child Coady's Taxi Place of birth of Father St. George, New Brunswick

Race Name and present address of Physician in attendance at birth

Signature of Applicant Sister Helen Gouchie Address of Applicant 32c Croft Street, Amherst, Cumberland Co., NS Date 24 February 1987

Relationship of Applicant to child Sister

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Frances MargaretCouchie

Born at Amherst in the County of Cumberland

That Frances MargaretCouchie Whose Birth is sought to be registered was

born at Amherst Cumberland County on June 17, 1923

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

No Doctor attended the birth. She was not born in the hospital. My Aunt, Mrs. Lester Fraser (deceased) was with my mother at the time of birth (deceased). Also the Health Nurse Macdonald.

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