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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000786

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of John AngusCameron Sex Male

Date of Birth January 1, 1923 Place of Birth InvernessCounty of Inverness

Name of Father Archie Cameron MAIDEN NAME of Mother Mary Jessie Kennedy

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

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

Occupation of Father at Birth of child Coal Miner Place of birth of Father Pipers Glen, Inverness Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant John Angus Cameron Address of Applicant 130 Reeves Street, Apt. 25, Sydney, Cape Breton Co., NS Date 14 August 1980

Relationship of Applicant to child Wife

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of John AngusCameron

Born at Inverness in the County of Inverness

That John AngusCameron Whose Birth is sought to be registered was

born at Inverness Inverness County on January 1, 1923

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

I examined the baptismal records at Stella Maris Parish, Inverness, NS

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