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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000093

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth November 19, 1924 Place of Birth East River St. Mary'sCounty of Pictou

Name of Father John MacKenzie Cameron MAIDEN NAME of Mother Martha Harding Dickson

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

Residence of Father when child was born East River St. Mary's, Pictou Co., NS Present address of Father East River St. Mary's, Pictou Co., NS

Occupation of Father at Birth of child Millwright and Carpenter Place of birth of Father East River St. Mary's, Pictou Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant John D. Cameron Address of Applicant c/o IMP Pipeline, Redwater, Alberta Date 21 November 1949

Relationship of Applicant to child Self

AFFIDAVIT

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

Born at East River St. Mary's in the County of Pictou

That John DicksonCameron Whose Birth is sought to be registered was

born at East River St. Mary's Pictou County on November 19, 1924

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

I am the mother of John Dickson Cameron. (certification from attending nurse's records and supporting affidavit)

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