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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000615

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Vandyke Fraser Cameron Sex Male

Date of Birth July 14, 1920 Place of Birth Shag HarbourCounty of Shelburne

Name of Father Wilfred Layton MAIDEN NAME of Mother Idema Gertrude Brown

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

Residence of Father when child was born Shag Harbour Present address of Father deceased

Occupation of Father at Birth of child Fisherman Place of birth of Father Woods Harbour

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

Signature of Applicant Vandyke F. Cameron Address of Applicant Upper Woods Harbour Date October 27, 1972

Relationship of Applicant to child self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Vandyke Fraser Cameron

Born at Shag Harbour in the County of Shelburne

That Vandyke Fraser Cameron Whose Birth is sought to be registered was

born at Shag Harbour Shelburne County on July 14, 1920

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

I am an older brother of Vandyke Fraser Cameron, having been born on May 22, 1906 and I can truthfully state that Vandyke Fraser Cameron was indeed born at Shag Harbour county of Shelburne on the fourteenth day of July, 1920. - Archie Webster Cameron

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