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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000035

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Roy ForbesCameron Sex Male

Date of Birth December 1, 1924 Place of Birth Pine TreeCounty of Pictou

Name of Father Donald Fraser Cameron MAIDEN NAME of Mother Mildred Hanes

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

Residence of Father when child was born Pine Tree, Pictou Co., NS Present address of Father Deceased

Occupation of Father at Birth of child Miner Place of birth of Father McPherson's Mills, Pictou Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mildred Cameron Address of Applicant RR #1, Thorburn, Pictou Co., NS Date 28 May 1947

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Roy ForbesCameron

Born at Pine Tree in the County of Pictou

That Roy ForbesCameron Whose Birth is sought to be registered was

born at Pine Tree Pictou County on December 1, 1924

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

Being the mother of above named Roy Forbes Cameron. I was present in the occasion and quite able to certify to the date

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