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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000873

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Harriet BelleFrail Sex Female

Date of Birth July 25, 1922 Place of Birth WestfieldCounty of Queens

Name of Father Joseph Spencer Frail MAIDEN NAME of Mother Hannah Emily

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 Fireman Place of birth of Father Queens County

Race Name and present address of Physician in attendance at birth

Signature of Applicant Elton DeLong Address of Applicant RR #2, Caledonia, Queens Date 6 January 1982

Relationship of Applicant to child Husband

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Harriet BelleFrail

Born at Westfield in the County of Queens

That Harriet BelleFrail Whose Birth is sought to be registered was

born at Westfield Queens County on July 25, 1922

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

Extract from family bible and extract from marriage.

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