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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100272

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Hazel IsabelDavidson Sex Female

Date of Birth March 17, 1920 Place of Birth New GlasgowCounty of Pictou

Name of Father Falconer Davidson MAIDEN NAME of Mother Bessie Davidson

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

Residence of Father when child was born Stellarton Present address of Father deceased

Occupation of Father at Birth of child miner Allan Shaft Place of birth of Father Isaacs Harbour, Guysborough Co.

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Hazel Fitzpatrick Address of Applicant 33 Prospect St. Date 22 May 1984

Relationship of Applicant to child

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Hazel IsabelDavidson

Born at New Glasgow in the County of Pictou

That Hazel IsabelDavidson Whose Birth is sought to be registered was

born at New Glasgow Pictou County on March 17, 1920

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

child was brought up by Captain MacGregor Fraser & Jennie Fraser

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