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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000559

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Anne Camilla CampbellBishop Sex Female

Date of Birth July 3, 1923 Place of Birth Glace BayCounty of Cape Breton

Name of Father John Dougald Campbell MAIDEN NAME of Mother Mary MacNeill

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

Residence of Father when child was born Cape Breton Ns Present address of Father Deceased

Occupation of Father at Birth of child Trucker Place of birth of Father Glencoe, Inverness Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Anne Camilla Bishop Address of Applicant 37 Forest Street, Yarmouth, NS Date 8 March 1976

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Anne Camilla CampbellBishop

Born at Glace Bay in the County of Cape Breton

That Anne Camilla CampbellBishop Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on July 3, 1923

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

Church Baptismal Certificate

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