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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000452

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Mina EvelynFraser Sex Female

Date of Birth August 23, 1922 Place of Birth Three BrooksCounty of Pictou

Name of Father James W. Fraser MAIDEN NAME of Mother Myrtle Ross

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

Residence of Father when child was born Three Brooks, Pictou Present address of Father Deceased

Occupation of Father at Birth of child Farmer Place of birth of Father Pictou County

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Wilfred Grant Address of Applicant Milford Station, Hants Date 25 May 1972

Relationship of Applicant to child None

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Mina EvelynFraser

Born at Three Brooks in the County of Pictou

That Mina EvelynFraser Whose Birth is sought to be registered was

born at Three Brooks Pictou County on August 23, 1922

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

Census records and school records

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