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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000573

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of James AlexanderFraser Sex

Date of Birth May 7, 1920 Place of Birth Port HoodCounty of Inverness

Name of Father John William Fraser MAIDEN NAME of Mother Georgie Gladys Roy

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

Residence of Father when child was born Port Hood Present address of Father deceased

Occupation of Father at Birth of child Blacksmith Place of birth of Father Westville

Race Scottish Name and present address of Physician in attendance at birth Dr. Chisholm (Deceased)

Signature of Applicant James Alexander Fraser Address of Applicant 527 Higfh St., New Glasgow Date

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of James AlexanderFraser

Born at Port Hood in the County of Inverness

That James AlexanderFraser Whose Birth is sought to be registered was

born at Port Hood Inverness County on May 7, 1920

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

I have been a neighbor of John & Georgie Fraser for the past 60 years and know Jas. was born on 7th of May 1920.

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