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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100023

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Gordon LoretFraser Sex Male

Date of Birth August 10, 1923 Place of Birth Garden of EdenCounty of Pictou

Name of Father Andrew A. Fraser MAIDEN NAME of Mother Christene Sutherland

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

Residence of Father when child was born Garden Of Eden Pictou Co. Ns Present address of Father Deceased

Occupation of Father at Birth of child Faemer Place of birth of Father Garden of Eden, Pictou Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Gordon Fraser Address of Applicant RR #5, New Glasgow, Pictou Co., NS Date 16 March 1988

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Gordon LoretFraser

Born at Garden of Eden in the County of Pictou

That Gordon LoretFraser Whose Birth is sought to be registered was

born at Garden of Eden Pictou County on August 10, 1923

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

I am the person whose birth is to be registered Information taken from Baptismal Certificate

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