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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000221

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of John BernardFraser Sex Male

Date of Birth June 25, 1922 Place of Birth Glace BayCounty of Cape Breton

Name of Father John Fraser MAIDEN NAME of Mother Elizabeth Kennedy

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

Residence of Father when child was born Glace Bay, Cape Breton Present address of Father Deceased

Occupation of Father at Birth of child Police Chief Place of birth of Father Antigonish

Race Name and present address of Physician in attendance at birth

Signature of Applicant John B. Fraser Address of Applicant 294 Garden Avenue, Toronto, Ontario Date 17 July 1957

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of John BernardFraser

Born at Glace Bay in the County of Cape Breton

That John BernardFraser Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on June 25, 1922

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

From baptismal certificate from records of St. Annes Parish, Glace Bay

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