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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000305

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Douglas RonaldSherman Sex Male

Date of Birth November 1, 1921 Place of Birth YarmouthCounty of Yarmouth

Name of Father Charles Henry Sherman MAIDEN NAME of Mother Daisy Higby

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

Residence of Father when child was born Yarmouth Present address of Father deceased

Occupation of Father at Birth of child Tinsmith Place of birth of Father Yarmouth

Race English Name and present address of Physician in attendance at birth S.W. Williamson M.D.

Signature of Applicant Douglas Ronald Sherman Address of Applicant Hebron Date March 22, 1962

Relationship of Applicant to child Sister

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Douglas RonaldSherman

Born at Yarmouth in the County of Yarmouth

That Douglas RonaldSherman Whose Birth is sought to be registered was

born at Yarmouth Yarmouth County on November 1, 1921

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

On the information which I have in the Family Bible - and also - as shown on Cradle Roll Certificate which is attached as class A evidence Cradle Roll Certificate shows surname incorrectly spelled Shureman Doctors records

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