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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

41200305

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Peter DonaldCampbell Sex Male

Date of Birth November 25, 1919 Place of Birth HalifaxCounty of Halifax

Name of Father Henry Luis Campbell MAIDEN NAME of Mother Deborah Doherty

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

Residence of Father when child was born Halifax Present address of Father 3 Brenton St.

Occupation of Father at Birth of child Employed in North Atlantic Fisheries Place of birth of Father Cape Breton

Race Name and present address of Physician in attendance at birth Dr. P.A. McDonald

Signature of Applicant Henry Luis Campbell Address of Applicant 3 Brenton St. Date 24 December 1919

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Peter DonaldCampbell

Born at Halifax in the County of Halifax

That Peter DonaldCampbell Whose Birth is sought to be registered was

born at Halifax Halifax County on November 25, 1919

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

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