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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000045

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Wallace CarltonFrail Sex Male

Date of Birth May 14, 1921 Place of Birth Harmony MillsCounty of Queens

Name of Father Earl Frail MAIDEN NAME of Mother Asaphine Gladys Crouse

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

Residence of Father when child was born Harmony Mills Present address of Father Harmony Mills

Occupation of Father at Birth of child Labourer Place of birth of Father Westfield

Race Anglo-Saxon Name and present address of Physician in attendance at birth Dr. J.D. March

Signature of Applicant Mrs. Asaphine Gladys Frail Address of Applicant Harmony Mills Date January 23, 1947

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Wallace CarltonFrail

Born at Harmony Mills in the County of Queens

That Wallace CarltonFrail Whose Birth is sought to be registered was

born at Harmony Mills Queens County on May 14, 1921

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

I am his mother

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