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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000728

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Margaret ElizabethCampbell Sex Female

Date of Birth November 22, 1922 Place of Birth Lime RockCounty of Pictou

Name of Father Clarence Campbell MAIDEN NAME of Mother Viola Graham

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

Residence of Father when child was born Lime Rock, Pictou Present address of Father Deceased

Occupation of Father at Birth of child Farmer Place of birth of Father Halifax

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Thomas W. Roper Address of Applicant RR #2, Trenton, Pictou Date 7 March 1979

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Margaret ElizabethCampbell

Born at Lime Rock in the County of Pictou

That Margaret ElizabethCampbell Whose Birth is sought to be registered was

born at Lime Rock Pictou County on November 22, 1922

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

Baptism, Marriage, Family bible.

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