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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000158

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Earl WilliamCarter Sex Male

Date of Birth November 11, 1920 Place of Birth SpringhillCounty of Cumberland

Name of Father Robert R. Carter MAIDEN NAME of Mother Verna Lucy Hayes

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

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

Occupation of Father at Birth of child Coal Mine Labour Place of birth of Father Springhill

Race English Name and present address of Physician in attendance at birth Dr. R.R. Withrow

Signature of Applicant Mrs. R.R. Carter Address of Applicant Springhill Date July 10, 1951

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Earl WilliamCarter

Born at Springhill in the County of Cumberland

That Earl WilliamCarter Whose Birth is sought to be registered was

born at Springhill Cumberland County on November 11, 1920

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

I the mother of Earl William Carter well remember the place and date of birth Springhill Nova Scotia November 11, 1920 (Certification from school records attached)

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