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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

64400352

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Frances DorothyDavison Sex Female

Date of Birth March 4, 1922 Place of Birth AmherstCounty of Cumberland

Name of Father Clarence Davison MAIDEN NAME of Mother Mary Davison

Residence of Father when child was born Amherst Present address of Father dead

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

Race White Name and present address of Physician in attendance at birth Dr. A.E. McIntosh

Signature of Applicant Address of Applicant 69 West Pleas St. Amherst Date January 10, 1931

Relationship of Applicant to child mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Frances DorothyDavison

Born at Amherst in the County of Cumberland

That Frances DorothyDavison Whose Birth is sought to be registered was

born at Amherst Cumberland County on March 4, 1922

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

Am the mother of said child

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