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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000803

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Eileen IsobelCampbell Sex Female

Date of Birth July 1, 1923 Place of Birth Glace BayCounty of Cape Breton

Name of Father Angus Campbell MAIDEN NAME of Mother Flora Belle Gillis

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

Residence of Father when child was born Glace Bay Cape Breton Co. Ns Present address of Father Deceased

Occupation of Father at Birth of child Coal Miner Place of birth of Father Low Point, Cape Breton Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Eileen Isobel Billard Address of Applicant 32 Water Street Date 28 April 1981

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Eileen IsobelCampbell

Born at Glace Bay in the County of Cape Breton

That Eileen IsobelCampbell Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on July 1, 1923

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

Certificate of birth and baptism (attached)

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