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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000320

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Vivian MaeFrail Sex Female

Date of Birth April 3, 1922 Place of Birth WestfieldCounty of Queens

Name of Father Alden Frail MAIDEN NAME of Mother Letitia Mae Frausell

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

Residence of Father when child was born Westfield, Queens Present address of Father Deceased

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

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Letitia M. Frail Address of Applicant RR #1, Caledonia, Queens Date 19 January 1965

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Vivian MaeFrail

Born at Westfield in the County of Queens

That Vivian MaeFrail Whose Birth is sought to be registered was

born at Westfield Queens County on April 3, 1922

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

I, Letitia M. Frail, can truthfully certify that Vivian Mae Frail is my daughter and was born at my home in Westfield, Queens on April 3, 1922

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