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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000655

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Charles StewartCameron Sex Male

Date of Birth March 5, 1922 Place of Birth SydneyCounty of Cape Breton

Name of Father James Cameron MAIDEN NAME of Mother Margaret McNeil

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

Residence of Father when child was born Sydney, Cape Breton Present address of Father Deceased

Occupation of Father at Birth of child Store Manager Place of birth of Father Glasgow, Scotland

Race Name and present address of Physician in attendance at birth

Signature of Applicant Charles S. Cameron Address of Applicant 2355 Briar Hill Drive, Ottawa, Ontario Date 26 September 1977

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Charles StewartCameron

Born at Sydney in the County of Cape Breton

That Charles StewartCameron Whose Birth is sought to be registered was

born at Sydney Cape Breton County on March 5, 1922

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

Having seen the original baptism certificate dated 30 June 1924 showing his date of birth as March 5, 1922.

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