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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000976

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of RitaFraser Sex Female

Date of Birth January 12, 1920 Place of Birth Frasers GrantCounty of Antigonish

Name of Father Alex Fraser MAIDEN NAME of Mother Cassie  Smith

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

Residence of Father when child was born Fraser's Grant Present address of Father deceased

Occupation of Father at Birth of child Farmer Place of birth of Father Fraser's Grant

Race Name and present address of Physician in attendance at birth

Signature of Applicant Rita MacLillan Address of Applicant Hamilton, Ontario Date March 27, 1979

Relationship of Applicant to child one and same

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of RitaFraser

Born at Frasers Grant in the County of Antigonish

That RitaFraser Whose Birth is sought to be registered was

born at Frasers Grant Antigonish County on January 12, 1920

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

Perusal of original Certificate of Birth and Baptism from records at Immaculate Conception Parish, Heatherton, under seal at Immaculate Conception Church.

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