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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000195

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Irene ElizabethGouthro Sex Female

Date of Birth December 13, 1924 Place of Birth DominionCounty of Cape Breton

Name of Father James Gouthro MAIDEN NAME of Mother Annie MacNeil

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

Residence of Father when child was born Dominion, Cape Breton Co., NS Present address of Father 149 Church Street, Dominion, Cape Breton Co., NS

Occupation of Father at Birth of child Miner Place of birth of Father French Vale, Cape Breton Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Irene Elizabeth Morrison Address of Applicant 149 Church Street, Dominion, Cape Breton Co., NS Date 22 July 1957

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Irene ElizabethGouthro

Born at Dominion in the County of Cape Breton

That Irene ElizabethGouthro Whose Birth is sought to be registered was

born at Dominion Cape Breton County on December 13, 1924

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

Irene Elizabeth Gouthro is my daughter. I remember her birthday very well. She was born at home in Dominion on December 13, 1924. I am enclosing a church record of her birth. We always spelled our name as Gouthro. Baptism certificate & marriage record.

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