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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100240

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Marion DingwallCampbell Sex Female

Date of Birth May 31, 1921 Place of Birth Glace BayCounty of Cape Breton

Name of Father Geroge Campbell MAIDEN NAME of Mother Margaret McPherson

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

Residence of Father when child was born Glace Bay Present address of Father Glace Bay

Occupation of Father at Birth of child Coal Miner Place of birth of Father Boulardarie

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. George Campbell Address of Applicant Glace Bay Date July 9, 1929

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Marion DingwallCampbell

Born at Glace Bay in the County of Cape Breton

That Marion DingwallCampbell Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on May 31, 1921

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

I am his Mother

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