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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100240

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Henry LesterFraser Sex

Date of Birth November 13, 1920 Place of Birth SydneyCounty of Cape Breton

Name of Father John David Fraser MAIDEN NAME of Mother Ethel Simmons

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

Residence of Father when child was born 79 Catherine Street, Sydney Present address of Father deceased

Occupation of Father at Birth of child Dominion Steelplant Place of birth of Father Lime Rock, Pictou County

Race Name and present address of Physician in attendance at birth

Signature of Applicant Henry Lester Fraser Address of Applicant 79 Catherine Street, Sydney Date July 15, 1980

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Henry LesterFraser

Born at Sydney in the County of Cape Breton

That Henry LesterFraser Whose Birth is sought to be registered was

born at Sydney Cape Breton County on November 13, 1920

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

I am 80 yrs. old - I have always lived on this street - I have known the family (signed by Mae. E. Munro)

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