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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000245

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Delphis JosephLeBlanc Sex Male

Date of Birth September 18, 1920 Place of Birth Lower WedgeportCounty of Yarmouth

Name of Father Henry L. LeBlanc MAIDEN NAME of Mother Marguerite A. LeBlanc

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

Residence of Father when child was born Lower Wedgeport, Yarmouth Co. Present address of Father Lower Wedgeport, Yarmouth Co.

Occupation of Father at Birth of child Fisherman Place of birth of Father Lower Wedgeport, Yarmouth Co.

Race Canadian Name and present address of Physician in attendance at birth Dr. W. S. Williamson

Signature of Applicant Mrs. Delphis LeBlanc Address of Applicant Lower Wedgeport, Yarmouth Co. Date 26 December 1955

Relationship of Applicant to child Wife

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Delphis JosephLeBlanc

Born at Lower Wedgeport in the County of Yarmouth

That Delphis JosephLeBlanc Whose Birth is sought to be registered was

born at Lower Wedgeport Yarmouth County on September 18, 1920

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

by birth and Baptismal certificate. I wish to point out that the names stated in the Baptism record are in the reverse order.

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