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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000072

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Jean StewartFraser Sex Female

Date of Birth June 22, 1921 Place of Birth Upper Mount ThomCounty of Pictou

Name of Father   MAIDEN NAME of Mother Maud MacKay

Were the Parents married at the time of the Birth? No

Residence of Father when child was born Present address of Father

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

Race Name and present address of Physician in attendance at birth Dr. M.R. Young

Signature of Applicant Stewart MacKay Address of Applicant Upper Mount Thom Date February 3, 1948

Relationship of Applicant to child Uncle

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Jean StewartFraser

Born at Upper Mount Thom in the County of Pictou

That Jean StewartFraser Whose Birth is sought to be registered was

born at Upper Mount Thom Pictou County on June 22, 1921

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

I am an older brother of Maud MacKay (now deceased) the mother of the said Jean Stewart MacKay, and the said Jean Stewart MacKay was born at my residence at Upper Mount Thom, Pictou County and I was personally present at the time and the fact and date of such birth are within my own personal knowledge.

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