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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100141

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Anne Jane Fraser Sex

Date of Birth July 19, 1920 Place of Birth AshdaleCounty of Antigonish

Name of Father John Collin Fraser MAIDEN NAME of Mother Jane Cameron

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

Residence of Father when child was born Same as above Present address of Father deceased

Occupation of Father at Birth of child Farmer Place of birth of Father Ashdale

Race Name and present address of Physician in attendance at birth

Signature of Applicant Anne Fraser Address of Applicant 5705 Parnasse, Brassard, PQ Date August 10, 1981

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Anne Jane Fraser

Born at Ashdale in the County of Antigonish

That Anne Jane Fraser Whose Birth is sought to be registered was

born at Ashdale Antigonish County on July 19, 1920

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

On Certificate of Baptism and of Birth of St. Joseph Parish, Antigonish County

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