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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

66700114

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Ronald AngusCampbell Sex Male

Date of Birth December 7, 1919 Place of Birth Glace BayCounty of Cape Breton

Name of Father Alexander Campbell MAIDEN NAME of Mother Catherine Campbell

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

Residence of Father when child was born Glace Bay Present address of Father Currie St.

Occupation of Father at Birth of child Miner Place of birth of Father Glencoe

Race Name and present address of Physician in attendance at birth E.O. MacDonald

Signature of Applicant Alexander Campbell Address of Applicant Glace Bay Date 19 December 1919

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Ronald AngusCampbell

Born at Glace Bay in the County of Cape Breton

That Ronald AngusCampbell Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on December 7, 1919

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

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