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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000318

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of James AlbertUhlman Sex Male

Date of Birth December 12, 1923 Place of Birth New ElmCounty of Lunenburg

Name of Father Joseph William Uhlman MAIDEN NAME of Mother Stella Mabel Baker

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

Residence of Father when child was born New Elm Lunenburg Co. Ns Present address of Father Deceased

Occupation of Father at Birth of child Farmer Place of birth of Father Chelsea, Lunenburg Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Stella Uhlman Address of Applicant New Elm, Lunenburg Co., NS Date 2 October 1965

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of James AlbertUhlman

Born at New Elm in the County of Lunenburg

That James AlbertUhlman Whose Birth is sought to be registered was

born at New Elm Lunenburg County on December 12, 1923

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

School record, family record and proof from the Dominion Bureau of Statistics.

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