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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000579

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Bernard FrancisCameron Sex Male

Date of Birth October 27, 1921 Place of Birth SydneyCounty of Cape Breton

Name of Father Donald Cameron MAIDEN NAME of Mother Bessie Poulaine

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

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

Occupation of Father at Birth of child dry cleaner Place of birth of Father Sydney

Race Name and present address of Physician in attendance at birth

Signature of Applicant W. Bowers Address of Applicant 1045 Granville St. Halifax Date January 29, 1975

Relationship of Applicant to child Friend

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Bernard FrancisCameron

Born at Sydney in the County of Cape Breton

That Bernard FrancisCameron Whose Birth is sought to be registered was

born at Sydney Cape Breton County on October 27, 1921

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

Baptismal Certificate

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