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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000366

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Donald BakerUhlman Sex Male

Date of Birth November 29, 1923 Place of Birth Upper ChelseaCounty of Lunenburg

Name of Father Raymond Uhlman MAIDEN NAME of Mother Ella Baker

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

Residence of Father when child was born Upper Chelsea Lunenburg Co. Ns Present address of Father Bridgewater, Lunenburg Co., NS

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

Race Name and present address of Physician in attendance at birth

Signature of Applicant Donald Baker Uhlman Address of Applicant Milton, Queens Co., NS Date 13 April 1967

Relationship of Applicant to child Same person

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Donald BakerUhlman

Born at Upper Chelsea in the County of Lunenburg

That Donald BakerUhlman Whose Birth is sought to be registered was

born at Upper Chelsea Lunenburg County on November 29, 1923

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

Told by parents.

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