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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000143

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Frank WebsterFletcher Sex Female

Date of Birth April 19, 1921 Place of Birth South OhioCounty of Yarmouth

Name of Father Everett John Fletcher MAIDEN NAME of Mother Emma Filema Jeness

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

Residence of Father when child was born South Ohio Present address of Father South Ohio

Occupation of Father at Birth of child Farmer Place of birth of Father South Ohio

Race English Name and present address of Physician in attendance at birth Dr. Z. Hawkins

Signature of Applicant Everett John Fletcher Address of Applicant South Ohio Date July 5, 1951

Relationship of Applicant to child Father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Frank WebsterFletcher

Born at South Ohio in the County of Yarmouth

That Frank WebsterFletcher Whose Birth is sought to be registered was

born at South Ohio Yarmouth County on April 19, 1921

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

My knowledge of my sons birth is taken from the Family Bible as well as being home when he was born and from the dates of entry remembers of our Family. I have examined the Family Bible and find the date corresponds with the date given above.

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