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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000935

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Clara IsobelCameron Sex Female

Date of Birth November 26, 1924 Place of Birth Middle HarbourCounty of Victoria

Name of Father Mark Cameron MAIDEN NAME of Mother Christina Burton

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

Residence of Father when child was born Middle Harbour Present address of Father deceased

Occupation of Father at Birth of child plumber Place of birth of Father Sugarloaf

Race Name and present address of Physician in attendance at birth

Signature of Applicant Clara Isabel Shaw Address of Applicant 323 King St. East, Stoney Creek, Ontario Date January 9, 1989

Relationship of Applicant to child same

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Clara IsobelCameron

Born at Middle Harbour in the County of Victoria

That Clara IsobelCameron Whose Birth is sought to be registered was

born at Middle Harbour Victoria County on November 26, 1924

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

Certificate of Baptism attached

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