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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000691

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Pearl KathleenFraser Sex Female

Date of Birth February 23, 1921 Place of Birth DayspringCounty of Lunenburg

Name of Father William Fraser MAIDEN NAME of Mother Laura Joudrey

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

Residence of Father when child was born Dayspring Present address of Father deceased

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

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Pearl K. Wambolt Address of Applicant Mahone Bay Date May 24, 1977

Relationship of Applicant to child Sister

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Pearl KathleenFraser

Born at Dayspring in the County of Lunenburg

That Pearl KathleenFraser Whose Birth is sought to be registered was

born at Dayspring Lunenburg County on February 23, 1921

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

School Records School Mate

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