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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000237

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of William JohnGosse Sex Male

Date of Birth August 10, 1924 Place of Birth SydneyCounty of Cape Breton

Name of Father John Gosse MAIDEN NAME of Mother Mary Sinyard

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

Residence of Father when child was born Sydney, Cape Breton Co., NS Present address of Father Sydney, Cape Breton Co., NS

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

Race Name and present address of Physician in attendance at birth

Signature of Applicant William John Gosse Address of Applicant 25 Balaclava, Amherstburg, Ontario Date 17 March 1961

Relationship of Applicant to child I am the applicant

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of William JohnGosse

Born at Sydney in the County of Cape Breton

That William JohnGosse Whose Birth is sought to be registered was

born at Sydney Cape Breton County on August 10, 1924

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

I was informed by my mother and father and I forwarded my baptismal certificate to the Department and the same is in the possession of the Department at the present time.

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