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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100016

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Hannah MaryCampbell Sex Female

Date of Birth May 15, 1922 Place of Birth Glace BayCounty of Cape Breton

Name of Father   MAIDEN NAME of Mother Catherine Campbell

Were the Parents married at the time of the Birth? No

Residence of Father when child was born Present address of Father

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

Race Name and present address of Physician in attendance at birth

Signature of Applicant Hannah Mary Ogley Address of Applicant 278 Lawrence Avenue, Kitchener, Ontario Date 11 September 1985

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Hannah MaryCampbell

Born at Glace Bay in the County of Cape Breton

That Hannah MaryCampbell Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on May 15, 1922

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

Certificate of birth and baptism

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