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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

62200451

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Cecil EdwardUhlman Sex Male

Date of Birth February 5, 1924 Place of Birth MordenCounty of Kings

Name of Father   MAIDEN NAME of Mother Rosina Uhlman

Residence of Father when child was born Present address of Father

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

Race Name and present address of Physician in attendance at birth

Signature of Applicant Herbert Stairs Address of Applicant Wolfville, Kings Co., NS Date 14 September 1928

Relationship of Applicant to child Agent, Children's Aid Facility, Kings Co.

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Cecil EdwardUhlman

Born at Morden in the County of Kings

That Cecil EdwardUhlman Whose Birth is sought to be registered was

born at Morden Kings County on February 5, 1924

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

I interviewed Mr. Joseph Edward Moriarty of Morden, who was in the house when the child was borne. Also the Dr. C.S. Bezanson, Aylesford, Kings Co.

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