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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000701

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Sarah JaneFraser Sex Female

Date of Birth November 25, 1923 Place of Birth Meat CoveCounty of Victoria

Name of Father Dan J. Fraser MAIDEN NAME of Mother C. R. MacEachern

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

Residence of Father when child was born Meat Cove Victoria Co. Ns Present address of Father Dead

Occupation of Father at Birth of child Fisherman Place of birth of Father Meat Cove, Victoria Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Sarah Jane Fraser Boutilier Address of Applicant 3525 Wood Avenue, New Waterford, Cape Breton Co., NS Date 16 February 1979

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Sarah JaneFraser

Born at Meat Cove in the County of Victoria

That Sarah JaneFraser Whose Birth is sought to be registered was

born at Meat Cove Victoria County on November 25, 1923

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

I am a cousin of Sarah Jane Fraser and I remember when she was born.

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