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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

91700574

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Elizabeth IsabelFraser Sex Female

Date of Birth March 24, 1921 Place of Birth Brierly BrookCounty of Antigonish

Name of Father William J. Fraser MAIDEN NAME of Mother Minnie Livingstone

Residence of Father when child was born Brierly Brook, Antigonish Co., NS Present address of Father Brierly Brook, Antigonish Co., NS

Occupation of Father at Birth of child Farmer Place of birth of Father West River, Antigonish Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Minnie A. Fraser Address of Applicant Brierly Brook, Antigonish Co., NS Date 24 June 1943

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Elizabeth IsabelFraser

Born at Brierly Brook in the County of Antigonish

That Elizabeth IsabelFraser Whose Birth is sought to be registered was

born at Brierly Brook Antigonish County on March 24, 1921

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

I am the mother

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