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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

91700527

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Carl OsborneDemings Sex Male

Date of Birth May 12, 1921 Place of Birth River Philip CenterCounty of Cumberland

Name of Father Guy A. Demings MAIDEN NAME of Mother Harriett Amelia Stonehouse

Residence of Father when child was born River Philip Center, Cumberland Co., NS Present address of Father Springhill, Cumberland Co., NS

Occupation of Father at Birth of child Farmer Place of birth of Father Millvale, Cumberland Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Carl Demings Address of Applicant Springhill, Cumberland Co., NS Date 2 March 1943

Relationship of Applicant to child Same

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Carl OsborneDemings

Born at River Philip Center in the County of Cumberland

That Carl OsborneDemings Whose Birth is sought to be registered was

born at River Philip Center Cumberland County on May 12, 1921

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

I am the father of same and was present at the time and place of birth.

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