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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000299

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Kathleen AnnFraser Sex Female

Date of Birth January 14, 1921 Place of Birth YarmouthCounty of Yarmouth

Name of Father Daniel  Fraser MAIDEN NAME of Mother Eva Ella Miller

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

Residence of Father when child was born Yarmouth Present address of Father Toronto

Occupation of Father at Birth of child Proprietor wholesale and retail Grocery Store Place of birth of Father Lorne

Race Scottish Name and present address of Physician in attendance at birth Dr. Williamson

Signature of Applicant Eva Fraser Address of Applicant 545 High St. Moncton, New Brunswick Date 29 September 1961

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Kathleen AnnFraser

Born at Yarmouth in the County of Yarmouth

That Kathleen AnnFraser Whose Birth is sought to be registered was

born at Yarmouth Yarmouth County on January 14, 1921

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

As mother of the said Kathleen Ann Fraser I am quite acquainted with the place and time of birth Baptism Certificate

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