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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100028

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Murdock ArchibaldCampbell Sex Male

Date of Birth March 2, 1922 Place of Birth New WaterfordCounty of Cape Breton

Name of Father Joseph Daniel Campbell MAIDEN NAME of Mother Jessie Colford

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

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

Occupation of Father at Birth of child Coal miner Place of birth of Father Newfoundland

Race Name and present address of Physician in attendance at birth

Signature of Applicant Murdock A. Campbell Address of Applicant 62 Mansfield Street, Glace Bay, Cape Breton Date 31 October 1985

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Murdock ArchibaldCampbell

Born at New Waterford in the County of Cape Breton

That Murdock ArchibaldCampbell Whose Birth is sought to be registered was

born at New Waterford Cape Breton County on March 2, 1922

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

Enclosed Baptismal certificate

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