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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000182

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Daniel JosephCampagna Sex Male

Date of Birth December 26, 1920 Place of Birth L'ArdoiseCounty of Richmond

Name of Father Peter Campogna MAIDEN NAME of Mother Dellarosa Bona

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

Residence of Father when child was born L'Ardoise Present address of Father 5 Elevator Court, Halifax

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

Race White Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Dellarosa Bona Address of Applicant 5 Elevator Ct. Halifax Date August 29, 1952

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Daniel JosephCampagna

Born at L'Ardoise in the County of Richmond

That Daniel JosephCampagna Whose Birth is sought to be registered was

born at L'Ardoise Richmond County on December 26, 1920

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

Being the mother of said child I should know.

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