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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100114

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Marjorie MacDermidCampbell Sex Female

Date of Birth December 14, 1922 Place of Birth Middle RiverCounty of Victoria

Name of Father William Charles Campbell MAIDEN NAME of Mother Alice MacKenzie MacDermid

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

Residence of Father when child was born Hunters Mountain Present address of Father deceased

Occupation of Father at Birth of child Farmer Place of birth of Father Hunters Mountain

Race Name and present address of Physician in attendance at birth

Signature of Applicant Alice Campbell Address of Applicant 34 Campbell St. Sydney Date 5 April 1989

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Marjorie MacDermidCampbell

Born at Middle River in the County of Victoria

That Marjorie MacDermidCampbell Whose Birth is sought to be registered was

born at Middle River Victoria County on December 14, 1922

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

I am the natural mother of Marjorie MacDermid Campbell, she was born at our home at Middle River, Victoria County on the 14th day of December 1922. Mrs. William MacKenzie was the nurse in attendance at the birth.

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