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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000214

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Donald VincentCampbell Sex Male

Date of Birth July 19, 1923 Place of Birth Victoria MinesCounty of Cape Breton

Name of Father Russel H. Campbell MAIDEN NAME of Mother Susan White

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

Residence of Father when child was born Victoria Mines Cape Breton Co. Ns Present address of Father Victoria Mines, Cape Breton Co., NS

Occupation of Father at Birth of child Electrical Engineer Place of birth of Father Victoria Mines, Cape Breton Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Russell Campbell Address of Applicant Victoria Mines, Cape Breton Co., NS Date 26 March 1957

Relationship of Applicant to child Father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Donald VincentCampbell

Born at Victoria Mines in the County of Cape Breton

That Donald VincentCampbell Whose Birth is sought to be registered was

born at Victoria Mines Cape Breton County on July 19, 1923

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

I recall most vividly the date of the birth of my son Donald Vincent Campbell. I also recall the date of his baptism. Baptism certificate attached.

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