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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000481

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Granville RoyFralick Sex Male

Date of Birth November 18, 1924 Place of Birth Hackett's CoveCounty of Halifax

Name of Father Silas Freeman Fralick MAIDEN NAME of Mother Susan Marguerite Fralick

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

Residence of Father when child was born Hackett's Cove, Halifax Co., NS Present address of Father Deceased

Occupation of Father at Birth of child Fisherman Place of birth of Father Hackett's Cove, Halifax Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Doris K. Fralick Address of Applicant 6182 Allan Street, Halifax, NS Date 17 October 1975

Relationship of Applicant to child Wife

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Granville RoyFralick

Born at Hackett's Cove in the County of Halifax

That Granville RoyFralick Whose Birth is sought to be registered was

born at Hackett's Cove Halifax County on November 18, 1924

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

Baptismal Certificate

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