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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

91600671

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Lily FraserCameron Sex Female

Date of Birth December 4, 1921 Place of Birth InvernessCounty of Inverness

Name of Father George Fraser Cameron MAIDEN NAME of Mother Margaret Isabel Cameron

Residence of Father when child was born Inverness, NS Present address of Father Inverness, NS

Occupation of Father at Birth of child Farmer Place of birth of Father Inverness, NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Margaret I. Cameron Address of Applicant Inverness, NS Date 5 May 1942

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Lily FraserCameron

Born at Inverness in the County of Inverness

That Lily FraserCameron Whose Birth is sought to be registered was

born at Inverness Inverness County on December 4, 1921

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

I am the mother of the said Lily Fraser Cameron and declare that she was born at the above mentioned place and on the above mentioned date.

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