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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000892

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Helen PernellaCameron Sex Female

Date of Birth April 14, 1922 Place of Birth Glace BayCounty of Cape Breton

Name of Father Alexander Cameron MAIDEN NAME of Mother Ester Nash

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

Residence of Father when child was born 105 Manse Street, Glace Bay, Cape Breton Present address of Father Deceased

Occupation of Father at Birth of child Coal Miner Place of birth of Father Springhill, Cumberland

Race Name and present address of Physician in attendance at birth

Signature of Applicant Helen Permilla Adshade Address of Applicant 14 Milton Street, Glace Bay Date 29 April 1982

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Helen PernellaCameron

Born at Glace Bay in the County of Cape Breton

That Helen PernellaCameron Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on April 14, 1922

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

School record and Insurancy policy

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