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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

91602679

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Ruth LillianCampbell Sex Female

Date of Birth September 21, 1920 Place of Birth Westmount NorthCounty of Cape Breton

Name of Father John James Albert Campbell MAIDEN NAME of Mother Rose Warr

Residence of Father when child was born Westmount North, Cape Breton Co. Present address of Father Box 173, Sydney, Cape Breton Co.

Occupation of Father at Birth of child Machinist Place of birth of Father Hopewell, Pictou Co.

Race White Name and present address of Physician in attendance at birth E. MacDonald, Bentick Street, Sydney

Signature of Applicant Joh James Albert Campbell Address of Applicant Westmount North, Cape Breton Co. Date 20 August 1942

Relationship of Applicant to child Father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Ruth LillianCampbell

Born at Westmount North in the County of Cape Breton

That Ruth LillianCampbell Whose Birth is sought to be registered was

born at Westmount North Cape Breton County on September 21, 1920

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

I was present at birth and occasion and date. I am her father.

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