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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000873

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Kenneth WrightCameron Sex Male

Date of Birth June 21, 1920 Place of Birth Spry HarbourCounty of Halifax

Name of Father Albert C. Cameron MAIDEN NAME of Mother Violet Jeanette Hawes

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

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

Occupation of Father at Birth of child Lumberman Place of birth of Father Spry Harbour

Race Name and present address of Physician in attendance at birth

Signature of Applicant Violet J. Cameron Address of Applicant Milford Date October 5, 1977

Relationship of Applicant to child mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Kenneth WrightCameron

Born at Spry Harbour in the County of Halifax

That Kenneth WrightCameron Whose Birth is sought to be registered was

born at Spry Harbour Halifax County on June 21, 1920

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

He being my son was duly registered in the office of Howard Newcombe at Murphy Cove

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