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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

93400967

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Raymond FrazerBurns Sex Male

Date of Birth August 11, 1906 Place of Birth LunenburgCounty of Lunenburg

Name of Father Frazer Burns MAIDEN NAME of Mother Edna Eisenhauer

Residence of Father when child was born Deceased Present address of Father Deceased

Occupation of Father at Birth of child Steward - Seaman Place of birth of Father Lunenburg

Race Scotch and German Name and present address of Physician in attendance at birth Dr. Messenger

Signature of Applicant Edna Burns Address of Applicant Lunenburg Date 6 November 1925

Relationship of Applicant to child mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Raymond FrazerBurns

Born at Lunenburg in the County of Lunenburg

That Raymond FrazerBurns Whose Birth is sought to be registered was

born at Lunenburg Lunenburg County on August 11, 1906

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

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