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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

66700390

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Thomas LameyCampbell Sex Male

Date of Birth November 25, 1919 Place of Birth BoisdaleCounty of Cape Breton

Name of Father Michael D. Campbell MAIDEN NAME of Mother Flora McIntyre

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

Residence of Father when child was born Boisdale Present address of Father

Occupation of Father at Birth of child Farming Place of birth of Father Boisdale

Race Name and present address of Physician in attendance at birth

Signature of Applicant Michael D. Campbell Address of Applicant Boisdale Date 25 November 1919

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Thomas LameyCampbell

Born at Boisdale in the County of Cape Breton

That Thomas LameyCampbell Whose Birth is sought to be registered was

born at Boisdale Cape Breton 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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