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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

66700499

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Olive LouiseCampbell Sex Female

Date of Birth October 1, 1919 Place of Birth Glace BayCounty of Cape Breton

Name of Father John George Campbell MAIDEN NAME of Mother Bessie S. Cousens

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

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

Occupation of Father at Birth of child Fireman Place of birth of Father Glace Bay

Race Name and present address of Physician in attendance at birth Mrs. McKenzie

Signature of Applicant John George Campbell Address of Applicant Brookside St., Glace Bay Date 31 October 1919

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Olive LouiseCampbell

Born at Glace Bay in the County of Cape Breton

That Olive LouiseCampbell Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on October 1, 1919

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

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