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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

92800192

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Roy EdisonFraser Sex Male

Date of Birth December 27, 1918 Place of Birth TrentonCounty of Pictou

Name of Father Alva Edison Fraser MAIDEN NAME of Mother Eva May McKinnon

Residence of Father when child was born Trenton Present address of Father Trenton

Occupation of Father at Birth of child Steel worker Place of birth of Father Pictou Landing

Race Name and present address of Physician in attendance at birth

Signature of Applicant Alva Fraser Address of Applicant Trenton Date June 21, 1944

Relationship of Applicant to child Father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Roy EdisonFraser

Born at Trenton in the County of Pictou

That Roy EdisonFraser Whose Birth is sought to be registered was

born at Trenton Pictou County on December 27, 1918

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

That I am the Father of the said Roy Edison Fraser and I remember the date of his birth.

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