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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000714

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Thelma ElizabethCameron Sex

Date of Birth December 12, 1920 Place of Birth SydneyCounty of Cape Breton

Name of Father Thomas Elmer Cameron MAIDEN NAME of Mother Mary MacLeod

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

Residence of Father when child was born Sydney Present address of Father 121 George St., New Glasgow

Occupation of Father at Birth of child Traveler Place of birth of Father Willowdale, Pictou Co.

Race Name and present address of Physician in attendance at birth

Signature of Applicant Gerald F. DeYoung Address of Applicant Office of the Ombudsman Date December 5, 1974

Relationship of Applicant to child None

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Thelma ElizabethCameron

Born at Sydney in the County of Cape Breton

That Thelma ElizabethCameron Whose Birth is sought to be registered was

born at Sydney Cape Breton County on December 12, 1920

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

Extract from school records, national registration.

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