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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000720

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Gladys BlancheCameron Sex Female

Date of Birth June 21, 1923 Place of Birth FairmontCounty of Antigonish

Name of Father John James Cameron MAIDEN NAME of Mother Minetta Mary Campbell

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

Residence of Father when child was born Fairmont Antigonish Co. Ns Present address of Father deceased

Occupation of Father at Birth of child Farmer Place of birth of Father Fairmont, Antigonish Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mary Cleary Address of Applicant RR #5, Antigonish Co., NS Date 26 March 1979

Relationship of Applicant to child Sister

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Gladys BlancheCameron

Born at Fairmont in the County of Antigonish

That Gladys BlancheCameron Whose Birth is sought to be registered was

born at Fairmont Antigonish County on June 21, 1923

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

I am married to Gladys' sister. I have known all the family since the past 35 years.

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