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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000987

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Dora ThorneFrail Sex Female

Date of Birth August 25, 1921 Place of Birth WestfieldCounty of Queens

Name of Father Arthur Frail MAIDEN NAME of Mother Ida Mansfield

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

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

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

Race Name and present address of Physician in attendance at birth

Signature of Applicant Dora Thorne Frail Address of Applicant RR1 Caledonia Date April 1, 1981

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Dora ThorneFrail

Born at Westfield in the County of Queens

That Dora ThorneFrail Whose Birth is sought to be registered was

born at Westfield Queens County on August 25, 1921

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

Custodian National Registration Records Statistics Canada Ottawa, Ont.

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