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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100087

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Frank ArchibaldBremner Sex Male

Date of Birth October 14, 1922 Place of Birth Lighthouse RoadCounty of Digby

Name of Father Archibald Maxwell Bremner MAIDEN NAME of Mother Fanny Wallace Sands

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

Residence of Father when child was born Lighthouse Road, Digby Present address of Father Deceased

Occupation of Father at Birth of child Fish Cutter Place of birth of Father Lighthouse Road, Digby

Race Name and present address of Physician in attendance at birth

Signature of Applicant Frank Archibald Bremner Address of Applicant RR #3, Digby Date 14 March 1987

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Frank ArchibaldBremner

Born at Lighthouse Road in the County of Digby

That Frank ArchibaldBremner Whose Birth is sought to be registered was

born at Lighthouse Road Digby County on October 14, 1922

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

Recorded in family bible under heading (births) "Frank Archibald Bremner" born at Lighthouse Road, Digby, October 14th, 1922.

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