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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000192

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Ernest AlexanderFrederickson Sex Male

Date of Birth March 3, 1924 Place of Birth SydneyCounty of Cape Breton

Name of Father Alexander Frederickson MAIDEN NAME of Mother Blanche Heron

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

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

Occupation of Father at Birth of child Hotel Clerk Place of birth of Father Sydney, Cape Breton Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Blanche Penny Address of Applicant 74 Charlotte Street, Sydney, Cape Breton Co., NS Date 18 June 1957

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Ernest AlexanderFrederickson

Born at Sydney in the County of Cape Breton

That Ernest AlexanderFrederickson Whose Birth is sought to be registered was

born at Sydney Cape Breton County on March 3, 1924

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

That I am the mother of the said Ernest Alexander Frederickson. Herewith produced is Baptismal certificate of the said Ernest Alexander Frederickson which confirms the information hereinbefore set forth regarding the date of his birth.

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