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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000179

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Joseph RoderickCampbell Sex Male

Date of Birth February 25, 1921 Place of Birth SydneyCounty of Cape Breton

Name of Father Michael Campbell MAIDEN NAME of Mother Catherine McIsaac

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

Residence of Father when child was born 26 Walker St. Sydney Present address of Father 26 Walker St. Sydney

Occupation of Father at Birth of child Section man C.N.R. Place of birth of Father Iona

Race White Name and present address of Physician in attendance at birth

Signature of Applicant Archibald B. Campbell Address of Applicant 22 Armstrong St. Sydney Date September 18, 1953

Relationship of Applicant to child Brother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Joseph RoderickCampbell

Born at Sydney in the County of Cape Breton

That Joseph RoderickCampbell Whose Birth is sought to be registered was

born at Sydney Cape Breton County on February 25, 1921

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

I am 10 years older than and a brother of Joseph Roderick Campbell, the applicant and have personal knowledge of the facts herein contained (Baptism certificate)

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