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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100042

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Catherine JosephineCampbell Sex Female

Date of Birth March 20, 1921 Place of Birth Glace BayCounty of Cape Breton

Name of Father Joseph F. Campbell MAIDEN NAME of Mother Sarah McDougall

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

Residence of Father when child was born 140 11th St. Glace Bay Present address of Father deceased

Occupation of Father at Birth of child Mine Examiner Place of birth of Father Middle Cape

Race Name and present address of Physician in attendance at birth

Signature of Applicant Roselyn Campbell MacIsaac Address of Applicant RR3 Georges River Date February 17, 1984

Relationship of Applicant to child Sister

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Catherine JosephineCampbell

Born at Glace Bay in the County of Cape Breton

That Catherine JosephineCampbell Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on March 20, 1921

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

That since we were very small children my sisters birthday was always celebrated on March 20 and my late parents often referred to her birthday as being March 20, 1921.

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