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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

92000696

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of James VictorFraser Sex Male

Date of Birth May 8, 1921 Place of Birth SydneyCounty of Cape Breton

Name of Father James Fraser MAIDEN NAME of Mother Marion MacAulay

Residence of Father when child was born 174 Royal Avenue, Sydney, Cape Breton Co., NS Present address of Father Sydney, Cape Breton Co., NS

Occupation of Father at Birth of child Blacksmith Place of birth of Father Edwardsville, Cape Breton Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Marion MacAulay Fraser Address of Applicant 174 Royal Avenue, Sydney, Cape Breton Co., NS Date 30 May 1941

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of James VictorFraser

Born at Sydney in the County of Cape Breton

That James VictorFraser Whose Birth is sought to be registered was

born at Sydney Cape Breton County on May 8, 1921

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

I am his mother and well remember the date

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