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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000565

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of DuncanCampbell Sex Male

Date of Birth April 30, 1923 Place of Birth MabouCounty of Inverness

Name of Father Archibald Campbell MAIDEN NAME of Mother Mary Martha MacLellan

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

Residence of Father when child was born Mabou Inverness Co. Ns Present address of Father Deceased

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

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mary Margaret Campbell Address of Applicant Box 16, Mabou, Inverness Co., NS Date 2 May 1976

Relationship of Applicant to child Daughter

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of DuncanCampbell

Born at Mabou in the County of Inverness

That DuncanCampbell Whose Birth is sought to be registered was

born at Mabou Inverness County on April 30, 1923

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

Baptismal Certificate

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