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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000740

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of RobertCampbell Sex Male

Date of Birth December 4, 1920 Place of Birth DominionCounty of Cape Breton

Name of Father Hector  Campbell MAIDEN NAME of Mother Effie Carmichael

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

Residence of Father when child was born Dominion Present address of Father deceased

Occupation of Father at Birth of child Coal miner Place of birth of Father Middle River

Race Name and present address of Physician in attendance at birth

Signature of Applicant Anne Robertson Address of Applicant New Waterford Date July 9, 1975

Relationship of Applicant to child sister

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of RobertCampbell

Born at Dominion in the County of Cape Breton

That RobertCampbell Whose Birth is sought to be registered was

born at Dominion Cape Breton County on December 4, 1920

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

I am the sister of Robert Campbell and his senior. I taught my brother to walk, I rocked him in the crib, I took him to school on the first day, etc. Also You have in your possession a Baptismal Certificate re Robert Campbell

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