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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000237

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Clyde ManardFraser Sex Male

Date of Birth May 3, 1921 Place of Birth GlenmontCounty of Kings

Name of Father Charles M. Fraser MAIDEN NAME of Mother Lillian Kathleen Brewster

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

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

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

Race White Name and present address of Physician in attendance at birth Midwife

Signature of Applicant Charles M. Fraser Address of Applicant Glenmont Date February 4, 1957

Relationship of Applicant to child Father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Clyde ManardFraser

Born at Glenmont in the County of Kings

That Clyde ManardFraser Whose Birth is sought to be registered was

born at Glenmont Kings County on May 3, 1921

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

of the Family Record Book and the fact that I was present when Clyde Maynard Fraser was born. Family record shows him only as Clyde and Census shows him as Maynard.

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