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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

91400190

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth December 11, 1923 Place of Birth New GlasgowCounty of Pictou

Name of Father Albert Irving Cameron MAIDEN NAME of Mother Helen Beatrice Tupper

Residence of Father when child was born New Glasgow, Pictou Co., NS Present address of Father Camp Borden, Ontario

Occupation of Father at Birth of child Meat Cutter Place of birth of Father Lochaber, Antigonish Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Helen Beatrice Cameron Address of Applicant 465 Chisholm Street, New Glasgow, Pictou Co., NS Date 21 March 1942

Relationship of Applicant to child Mother

AFFIDAVIT

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

Born at New Glasgow in the County of Pictou

That Helen AlbertaCameron Whose Birth is sought to be registered was

born at New Glasgow Pictou County on December 11, 1923

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

I am her mother and know that the above date is true and correct. Her birth is recorded in the family record in the family bible in my possession.

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