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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000969

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of John ArmandCamus Sex Male

Date of Birth February 22, 1922 Place of Birth SydneyCounty of Cape Breton

Name of Father Alcide Camus MAIDEN NAME of Mother Annie Burt

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 Barber Place of birth of Father Cheticamp, Inverness

Race Name and present address of Physician in attendance at birth

Signature of Applicant John Armand Camus Address of Applicant 12365 Alfred Avenue, Montreal North, Quebec, H1G 5C Date 29 January 1984

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of John ArmandCamus

Born at Sydney in the County of Cape Breton

That John ArmandCamus Whose Birth is sought to be registered was

born at Sydney Cape Breton County on February 22, 1922

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

I am the mother of John Armand Camus I am also the wife of the father, Alcide Camus

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